NPI 1134493943
Mike's Dental Lab
Practice location
- Address
- 1735 Professional Drive, Sacramento, CA 95825
- Phone
- (916) 487-2236
Authorised official
- Name
- Michael J Tetrick
- Title
- Certified Dental Technician
- Phone
- (916) 487-2236
Registered specialties
Dental Laboratory
Primary
Registry record
- NPI
- 1134493943
- Entity type
- Organization
- NPI issued
- 27 Feb 2012
- Record last updated
- 27 Feb 2012
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.