National Provider Identifier Database

MIKES DENTAL LAB
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.


Contact Information

MIKE'S DENTAL LAB
1735 PROFESSIONAL DRIVE
SACRAMENTO, CA95825
Phone: 916-487-2236
Fax:
Website:
Specialty Taxonomy Code
* Dental Laboratory 292200000X

* Indicates primary specialty

NPI Profile & details for MIKE'S DENTAL LAB

NPI Number 1134493943
Legal business name
LBN
MIKE'S DENTAL LAB
Authorized official MICHAEL TETRICK - (CERTIFIED DENTAL TECHNICIAN)
Entity Organization
Organization subpart No
Enumeration date 02/27/2012
Last updated 02/27/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 347527

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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