| NPI | 1871203877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY CHI HU Owner 907-262-6466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |