Organization
FIVE STAR ORTHODONTIC LABORATORY & SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW LOCH (VICE PRESIDENT)
(800) 521-2351
Entity
Organization
Contact information
Practice address
2928 METRO ST STE 102, DENTON, TX 76207-4304
(800) 521-2351
Mailing address
PO BOX 888, DENTON, TX 76202-0888
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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