| NPI | 1245407154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S MCCRACKEN Owner/Manager 256-880-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 292200000X Dental Laboratory (Licence: AL 001448) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |