Organization
JSB ENTERTAINMENT INC.
Active
Other names
Phoenix Dental Lab
Organization subpart
No
Provider details
NPI number
Authorized official
SANG LEE (LAB OWNER/LEAD DENTAL TECHNICIAN)
(425) 670-2080
Entity
Organization
Contact information
Practice address
6505 218TH ST SW STE 1, MOUNTLAKE TERRACE, WA 98043-2135
(425) 670-2080
Mailing address
6505 218TH ST SW STE 1, MOUNTLAKE TERRACE, WA 98043-2135
(425) 670-2080
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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