Mccormack Dental Imaging

NPI #1104286996 in Encinitas, California

Provider Information

NPI Number
1104286996
Entity Type
Organization
Organization Name
Mccormack Dental Imaging
Primary Specialty
Dental Laboratory
Enumeration Date
Mar 7, 2016
Last Updated
Mar 7, 2016

Practice Location

Address
317 N EL CAMINO REAL
Address 2
STE. 301
ZIP Code
92024-2811
Phone
(760) 942-2133

Authorized Official

Name
MR. JEROME N. PECK, DLXT
Title
CEO
Phone
(415) 421-1389

Specialties & Taxonomy Codes

Specialty
Dental Laboratory

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