NPI 1902428527

Az Dental Laboratory LLC

Organisation Dental Laboratory Surprise, AZ

Practice location

Address: 15028 W Jackpot Way, Surprise, AZ 85374-4439
Phone: (602) 802-9751
Mailing address: 9847 W Mohawk Ln, Peoria, AZ 85382-2293

Authorised official

Name: Kristina Flit
Title: Owner
Phone: (517) 420-2303

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X

Other Dental Laboratory providers in Arizona →

Registry record

NPI: 1902428527
Entity type: Organization
NPI issued: 18 May 2020
Record last updated: 18 May 2020

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.