NPI 1053960500
Greenway Dental Lab INC.
Practice location
- Address
- 1855 W Greenway Rd STE 109, Phoenix, AZ 85023-3475
- Phone
- (602) 242-2303
Authorised official
- Name
- Matthew Frketich
- Title
- Owner
- Phone
- (602) 242-2303
Registered specialties
Dental Laboratory Technician
Primary
Registry record
- NPI
- 1053960500
- Entity type
- Organization
- NPI issued
- 7 Sep 2019
- Record last updated
- 7 Sep 2019
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.