NPI 1194272203

Ldentac

Organisation Dental Laboratory Apo, AE

Practice location

Address: Cmr 402, Apo, AE 09227
Phone: (314) 493-4460
Mailing address: 12a in Den Brunnenweiser, Mockenbach, RP 68676

Authorised official

Name: Eddie Anderson
Title: Sr. Lab Tech
Phone: (314) 493-4460

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X

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Registry record

NPI: 1194272203
Entity type: Organization
NPI issued: 7 Sep 2016
Record last updated: 7 Sep 2016

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.