MCCORMACK DENTAL IMAGING NPI 1598137184

NPI Information

MCCORMACK DENTAL IMAGING is a dental laboratory in La Mesa, 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. MCCORMACK DENTAL IMAGING NPI is 1598137184. The provider is registered as an organization entity type.

The provider's business location address is:

8860 CENTER DR
STE. 340
LA MESA, CA
ZIP 91942-068
Phone: (619) 461-3910

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 10/22/2015 and was last updated on 10/22/2015.

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:

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