NPI 1548660053

Berkeley Prosthetic Laboratory LLC

Organisation Dental Laboratory Moncks Corner, SC

Practice location

Address: 216 Carolina Ave, Moncks Corner, SC 29461-3785
Phone: (843) 761-6411
Fax: (843) 719-1189

Authorised official

Name: Eric Brandon Roberts
Title: Lab Manager
Phone: (843) 761-6411

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X Licence 555 (SC)

Other Dental Laboratory providers in South Carolina →

Registry record

NPI: 1548660053
Entity type: Organization
NPI issued: 3 Sep 2014
Record last updated: 3 Sep 2014

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.