NPI | 1700294568 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA LYNN WESTERBERG Owner 208-323-7790 |
Organization Subpart ? | No |
Primary Taxonomy | 292200000X Dental Laboratory (Licence: ID LD-92) |
Enumeration Date | 2014-07-24 |
Last Update Date | 2014-07-24 |