Prodent Dental Lab

LBN: Prodent Dental Lab
Prodent Dental Lab is an health care organization with primary practice located at 3000 Alamo Dr Ste 108 , Vacaville CA 95687-6345. The organization recently has only one registered license in Laboratories / Dental Laboratory, which is considered as the primary health care specialty. Prodent Dental Lab can be contacted via phone (707) 655-8824, or through Manzano, Percival Magpusao via phone (707) 655-8824.

Contact Information

Primary practice address
3000 Alamo Dr Ste 108 Vacaville CA 95687-6345
Phone: (707) 655-8824
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Manzano, Percival Magpusao MDT
Phone: (707) 655-8824

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Dental Laboratory 292200000X 016761 California

Profile Details

NPI number 1477884641
LBN Legal business name Prodent Dental Lab
DBA Doing business as
Authorized official Manzano, Percival Magpusao MDT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2010
Last updated Jan 28th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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