Organization
BREATHALIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAPHA HOTAIT (OWNER)
(313) 999-8889
Entity
Organization
Contact information
Practice address
8300 VALLEY CIRCLE BLVD STE B, WEST HILLS, CA 91304-3023
(313) 999-8889
Mailing address
8300 VALLEY CIRCLE BLVD STE B, WEST HILLS, CA 91304-3023
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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