NPI | 1861274243 |
---|---|
Entity Type | Organization |
Authorized Contact | LIZETTE BARZAGA COO 786-201-1427 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2023-10-19 |
Last Update Date | 2023-10-19 |