NPI | 1417179466 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACEY E JOHNSON-ROBINSON Administrator 800-362-7645 |
Organization Subpart ? | No |
Primary Taxonomy | 292200000X Dental Laboratory (Licence: MI 2901011576) |
Additional Taxonomies | 292200000X Dental Laboratory (Licence: MI 2901015328) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2010-10-07 |