| NPI | 1881326999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN RIFKIN Owner 770-393-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |