NPI 1700294568

Public Denture Center

Organisation Dental Laboratory Caldwell, ID

Practice location

Address: 2124 Blaine St, Caldwell, ID 83605-4426
Phone: (208) 454-0311

Authorised official

Name: Rebecca Lynn Westerberg
Title: Owner
Phone: (208) 323-7790

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X Licence LD-92 (ID)

Other Dental Laboratory providers in Idaho →

Registry record

NPI: 1700294568
Entity type: Organization
NPI issued: 24 Jul 2014
Record last updated: 24 Jul 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.