| NPI | 1922850700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DONOGHUE CEO 619-928-7506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 292200000X Dental Laboratory |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-26 |