| NPI | 1942980636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY MOLINA Owner 516-592-2957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-08-29 |