Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ocularist |
156FX1700X | |||
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI # | 1205192986 |
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| LBN Legal business name | D DANZ & SONS INC | ||||||||
| Authorized official | ANTONIO ALCORTA - (PRESIDENT/BOARD CERTIFIED OCULARIST) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/06/2012 | ||||||||
| Last updated | 05/01/2012 - About 14 years ago | ||||||||
| Identifiers |
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