C-DENTAL X-RAY INC NPI 1366807950

NPI Information

  • NPI: 1366807950
  • Provider Name: C-DENTAL X-RAY, INC
  • Classification: Dental Laboratory - 292200000X
  • Entity Type: Organization
  • Address: 1900 OLYMPIC BLVD
    STE. 201
    WALNUT CREEK, CA
    ZIP 94596
  • Phone: (925) 935-0500

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NPI Details

C-DENTAL X-RAY, INC is a dental laboratory in Walnut Creek, CA. The provider is a commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. C-DENTAL X-RAY, INC NPI is 1366807950. The provider is registered as an organization entity type.

The provider's business location address is:

1900 OLYMPIC BLVD
STE. 201
WALNUT CREEK, CA
ZIP 94596-037
Phone: (925) 935-0500

The provider's authorized official is Jerome N Peck .
The authorized official title is Ceo and has the following contact phone number (415) 421-1389.

The enumeration date for this NPI number is 12/23/2015 and was last updated on 12/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1292200000XDental LaboratoryRHP00053519CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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