Organization
AXIOM DENTAL LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER ALAN HANSEN (CEO/FOUNDER)
(352) 538-9848
Entity
Organization
Contact information
Practice address
25336 NW 9TH LN, NEWBERRY, FL 32669-3589
(352) 538-9848
Mailing address
25336 NW 9TH LN, NEWBERRY, FL 32669-3589
(352) 538-9848
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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