PRODENT DENTAL LAB NPI 1477884641

NPI Information

PRODENT DENTAL LAB is a dental laboratory in Vacaville, 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. PRODENT DENTAL LAB NPI is 1477884641. The provider is registered as an organization entity type.

The provider's business location address is:

3000 ALAMO DR STE 108
VACAVILLE, CA
ZIP 95687-345
Phone: (707) 655-8824

The provider's authorized official is Percival Magpusao Manzano .
The authorized official title is Lab Technician and has the following contact phone number (707) 655-8824.

The enumeration date for this NPI number is 1/27/2010 and was last updated on 1/28/2010.

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:

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