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 # | 1780139931 |
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| LBN Legal business name | THE PROFESSIONAL DENTURE CENTER | ||||||||
| Authorized official | JONATHAN DICKSON - (DENTIST) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 08/17/2016 | ||||||||
| Last updated | 03/17/2025 - More than a year ago | ||||||||
| Identifiers |
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