NPI 1689045718

McCormack Dental Imaging

Organisation Dental Laboratory San Diego, CA

Practice location

Address: 1550 Hotel Cir N STE. 340, San Diego, CA 92108-2901
Phone: (619) 296-6132
Mailing address: 450 Sutter St Suite 1542, San Francisco, CA 94108-4206

Authorised official

Name: Jerome N. Peck
Title: Ceo
Phone: (415) 421-1389

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X Licence RHP00053519 (CA)

Other Dental Laboratory providers in California →

Registry record

NPI: 1689045718
Entity type: Organization
NPI issued: 15 Oct 2015
Record last updated: 15 Oct 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.