National Provider Identifier Database

C DENTAL X RAY INC
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

C-DENTAL X-RAY, INC.
1050 NORTHGATE DR
STE. 110
SAN RAFAEL, CA94903-2526
Phone: 415-472-1323
Fax:
Website:
Specialty Taxonomy Code
* Dental Laboratory 292200000X

* Indicates primary specialty

NPI Profile & details for C-DENTAL X-RAY, INC.

NPI Number 1609242205
Legal business name
LBN
C-DENTAL X-RAY, INC.
Authorized official JEROME PECK - (CEO)
Entity Organization
Organization subpart No
Enumeration date 08/18/2015
Last updated 08/18/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: RHP00053519

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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