Organization
EMERGENCY VALPLAST LAB, LLC
Active
Parent organization
EMERGENCY VALPLAST LAB, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMERGENCY VALPLAST LAB, LLC
Authorized official
MR. ROLAND EDWARDS III (OWNER)
(203) 299-1601
Entity
Organization
Contact information
Practice address
161 EAST AVE, SUITE 11, NORWALK, CT 06851-5710
(203) 299-1601
Mailing address
161 EAST AVE, SUITE 11, NORWALK, CT 06851-5710
(203) 299-1601
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
292200000X
CT
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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