NPI 1477851582

Elenes Dental Corporation

Organisation Dental Laboratory San Bernardino, CA

Practice location

Address: 245 N Waterman Ave Suite H, San Bernardino, CA 92408-1209
Phone: (909) 884-0369
Fax: (909) 884-0426

Authorised official

Name: Daniel Elenes
Title: President
Phone: (909) 884-0369

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X Licence 30715 (CA)

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Registry record

NPI: 1477851582
Entity type: Organization
NPI issued: 14 Mar 2011
Record last updated: 14 Mar 2011

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.