NPI 1477884641

Prodent Dental Lab

Organisation Dental Laboratory Vacaville, CA

Practice location

Address: 3000 Alamo Dr STE 108, Vacaville, CA 95687-6345
Phone: (707) 655-8824

Authorised official

Name: Percival Magpusao Manzano
Title: Lab Technician
Phone: (707) 655-8824

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X Licence 016761 (CA)

Other Dental Laboratory providers in California →

Registry record

NPI: 1477884641
Entity type: Organization
NPI issued: 27 Jan 2010
Record last updated: 28 Jan 2010

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.