Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI # | 1720568546 |
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| LBN Legal business name | SCIENTIFIC SPINE & ORTHOPEDIC DEVICES LLC | ||||
| Authorized official | WILLIAM CAPICOTTO - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/21/2018 | ||||
| Last updated | 08/21/2018 - About 8 years ago | ||||
| Identifiers |
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