NPI 1043961865
Axiom Dental Laboratories LLC
Practice location
- Address
- 25336 NW 9th Ln, Newberry, FL 32669-3589
- Phone
- (352) 538-9848
Authorised official
- Name
- Tyler Alan Hansen
- Title
- Ceo/Founder
- Phone
- (352) 538-9848
Registered specialties
Dental Laboratory
Primary
Registry record
- NPI
- 1043961865
- Entity type
- Organization
- NPI issued
- 13 Jan 2022
- Record last updated
- 13 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.