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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental Laboratory |
292200000X |
| NPI # | 1275834129 |
| LBN Legal business name | PRISON REHABILITATIVE INDUSTRIES & DIVERSIFIED ENTERPRISES |
| Authorized official | DENISE KIMINKI - (ASSISTANT SECRETARY TO THE BOARD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/09/2010 |
| Last updated | 11/09/2010 - About 16 years ago |
| Identifiers | n/a |
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