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Contact Information

C-DENTAL X-RAY INC
424 N SAN MATEO DR
SUITE 100
SAN MATEO, CA94401-2491
 Phone: 650-685-8097
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Laboratory

292200000X
Indicates primary specialty

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

NPI Number 1730406653
LBN Legal business name C-DENTAL X-RAY INC
Authorized official JEROME PECK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2010
Last updated 06/04/2013 - About 13 years ago
Identifiers
CA License # RHP 53519
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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