Organization · Type 2 NPI
Prison Rehabilitative Industries & Diversified Enterprises
Dental Laboratory · St. Petersburg, FL
Practice location
12425 28th St. N., Suite 300
St. Petersburg, FL 33716
Fax (727) 570-3449
Mailing address
12425 28th St N, Suite 300
St. Petersburg, FL 33716-1844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Laboratory Primary | 292200000X | None listed |
Dental Laboratory: A commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.
About NPI 1275834129
Prison Rehabilitative Industries & Diversified Enterprises's National Provider Identifier is 1275834129, issued on Nov 9, 2010. The primary taxonomy on file is Dental Laboratory (292200000X), and the practice location is in St. Petersburg, FL. The record was last updated on Nov 9, 2010.