NPI | 1467734491 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL W. CARPENTER Owner 951-682-7505 |
Organization Subpart ? | No |
Primary Taxonomy | 292200000X Dental Laboratory (Licence: CA RHP00050468) |
Additional Taxonomies | 292200000X Dental Laboratory (Licence: CA RHP7971) |
Enumeration Date | 2011-09-15 |
Last Update Date | 2011-09-15 |