# NATIONAL DENTEX LLC

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

## Provider details

- **NPI number:** 1972371631
- **Authorized official:** MIGUEL FONSECA (SR. GLOBAL DIR. COMPLIANCE & SAFETY)
- **Authorized official phone:** (786) 717-1055

## Contact information

- **Practice address:** 5830 CROSSROADS COMMERCE PKWY SW, WYOMING, MI 49519-9572
- **Practice address phone:** (616) 261-9191
- **Mailing address:** 4400 PGA BLVD STE 700, PALM BEACH GARDENS, FL 33410-6560
- **Mailing address phone:** (786) 717-1055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 292200000X | Dental Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 12/12/2023
- **Last updated:** 12/12/2023