| NPI | 1669067187 |
|---|---|
| Doing Business As | COURT STREET DENTURE |
| Entity Type | Organization |
| Authorized Contact | EDWARD EPLETT Owner 541-500-1894 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 292200000X Dental Laboratory |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |