Organization
DEXTERA MEDICAL EQUIPMENT & SUPPLIES ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRITZ G. THEZARD (DIRECTOR)
(301) 523-0122
Entity
Organization
Contact information
Practice address
4421 FORBES BLVD STE D, LANHAM, MD 20706-4384
(310) 523-0122
Mailing address
4421 FORBES BLVD STE D, LANHAM, MD 20706-4384
(310) 523-0122
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R2559
MD
Other
Enumeration date
10/01/2007
Last updated
02/19/2008
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