| NPI | 1639588205 |
|---|---|
| Former Legal Business Name | JOHN BILDER |
| Entity Type | Organization |
| Authorized Contact | KAREN SUE S CROUSE Dna Lab Burn Unit Cremation 562-536-6391 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 292200000X Dental Laboratory (Licence: SC 004885460) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |