| NPI | 1831637537 |
|---|---|
| Doing Business As | ANGELLIFT DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JIMMIE BOB HALES Owner 541-474-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OK D6777) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |