NPI | 1821824764 |
---|---|
Entity Type | Organization |
Authorized Contact | OLGA STEPANCHENKO Dentist 972-698-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2024-09-09 |
Last Update Date | 2024-09-09 |