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Contact Information

LAYTON DENTAL LAB
495 HICKORY ST
PEWAUKEE, WI53072-3537
 Phone: 262-691-7100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Laboratory

292200000X
Indicates primary specialty

NPI Profile & details for LAYTON DENTAL LAB

NPI Number 1740628254
LBN Legal business name LAYTON DENTAL LAB
Authorized official RICHARD BONG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2013
Last updated 06/06/2013 - About 13 years ago
Identifiers n/a
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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