NPI 1740628254

Layton Dental Lab

Organisation Dental Laboratory Pewaukee, WI

Practice location

Address: 495 Hickory St, Pewaukee, WI 53072-3537
Phone: (262) 691-7100

Authorised official

Name: Richard Bong
Title: President
Phone: (262) 691-7100

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X

Other Dental Laboratory providers in Wisconsin →

Registry record

NPI: 1740628254
Entity type: Organization
NPI issued: 6 Jun 2013
Record last updated: 6 Jun 2013

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.