| NPI | 1477884641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERCIVAL MAGPUSAO MANZANO Lab Technician 707-655-8824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 292200000X Dental Laboratory (Licence: CA 016761) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-28 |