NPI 1477929313

C-Dental X-Ray, INC.

Organisation Dental Laboratory San Jose, CA

Practice location

Address: 3535 Ross Ave Bldg II STE. 208, San Jose, CA 95124-3054
Phone: (408) 264-2220
Mailing address: 450 Sutter St STE. 1542, San Francisco, CA 94108-4206

Authorised official

Name: Jerome N Peck
Title: Ceo
Phone: (650) 207-6209

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X Licence RHP00053519 (CA)

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Registry record

NPI: 1477929313
Entity type: Organization
NPI issued: 14 Aug 2015
Record last updated: 14 Aug 2015

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.