# C-DENTAL X-RAY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730406653
- **Authorized official:** JEROME PECK (CEO)
- **Authorized official phone:** (650) 685-8097

## Contact information

- **Practice address:** 424 N SAN MATEO DR, SUITE 100, SAN MATEO, CA 94401-2491
- **Practice address phone:** (650) 685-8097
- **Mailing address:** 424 N SAN MATEO DR, SUITE 100, SAN MATEO, CA 94401-2491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 292200000X | Dental Laboratory | RHP 53519 | CA | Yes |

## Other

- **Enumeration date:** 05/03/2010
- **Last updated:** 06/04/2013