| NPI | 1558803171 |
|---|---|
| Doing Business As | J.A. DENTAL LABORATORY |
| Entity Type | Organization |
| Authorized Contact | NATALIA LUKASHOVA Owner 206-566-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122400000X Denturist (Licence: WA DN60457526) |
| Additional Taxonomies | 292200000X Dental Laboratory (Licence: WA 603550350) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |