Az Dental Laboratory LLC

NPI #1902428527 in Surprise, Arizona

Provider Information

NPI Number: 1902428527
Entity Type: Organization
Organization Name: Az Dental Laboratory LLC
Primary Specialty: Dental Laboratory
Enumeration Date: May 18, 2020
Last Updated: May 18, 2020

Practice Location

Address: 15028 W JACKPOT WAY
City: Surprise
State: Arizona
ZIP Code: 85374-4439
Phone: (602) 802-9751

Authorized Official

Name: KRISTINA FLIT
Title: OWNER
Phone: (517) 420-2303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Laboratory	292200000X	Primary

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