NPI | 1982324778 |
---|---|
Entity Type | Organization |
Authorized Contact | THEODORE JOHN GRELLNER Owner 813-972-3478 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2022-08-31 |
Last Update Date | 2022-08-31 |