NPI 1235165804

Elk Grove Medical & Dental Supply

Organisation Durable Medical Equipment & Medical Supplies Elk Grove, CA

Practice location

Address: 8139 Elk Grove Blvd Suite 155, Elk Grove, CA 95758-5519
Phone: (916) 691-4200
Fax: (916) 691-4245

Authorised official

Name: Davies Ononiwu
Title: Owner
Phone: (916) 691-4200

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 5395690001 (CA)

Other Durable Medical Equipment & Medical Supplies providers in California →

Registry record

NPI: 1235165804
Entity type: Organization
NPI issued: 24 Jun 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.