Organization
PROSTHODONTICS DENTAL LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT S MCCRACKEN (OWNER/MANAGER)
(256) 880-7414
Entity
Organization
Contact information
Practice address
2227 DRAKE AVE SW, SUITE 10E, HUNTSVILLE, AL 35805-5199
(256) 880-7414
Mailing address
2227 DRAKE AVE SW, SUITE 10E, HUNTSVILLE, AL 35805-5199
(256) 880-7414
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
001448
AL
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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