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Organization
DJ DENTAL LAB INC
Active
Organization
DJ DENTAL LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE PARK (ADMIN)
(714) 337-4410
Entity
Organization
Contact information
Practice address
700 N VALLEY ST STE F-G, ANAHEIM, CA 92801-3824
(714) 502-0900
Mailing address
700 N VALLEY ST STE F-G, ANAHEIM, CA 92801-3824
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
NULL
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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