Organization · Type 2 NPI
Brockton Dental X-Ray Lab., Inc.
Dental Laboratory · Riverside, CA
NPI number
1467734491
Active
Practice location
6800 Brockton Ave Ste 3
Riverside, CA 92506-3810
Fax (951) 682-7549
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Laboratory Primary | 292200000X | RHP00050468 (CA) |
| Dental Laboratory | 292200000X | RHP7971 (CA) |
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 1467734491
Brockton Dental X-Ray Lab., Inc.'s National Provider Identifier is 1467734491, issued on Sep 15, 2011. The primary taxonomy on file is Dental Laboratory (292200000X), and the practice location is in Riverside, CA. The record was last updated on Sep 15, 2011.