Organization
TEPNEL LIFECODES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY C. DAVIS PH.D. (VICE PRESIDENT & GENERAL MANAGER)
(203) 328-9526
Entity
Organization
Contact information
Practice address
550 WEST AVE, STAMFORD, CT 06902-6342
(203) 328-9526
(203) 328-9599
Mailing address
550 WEST AVE, STAMFORD, CT 06902-6342
(203) 328-9526
(203) 328-9599
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
07/21/2022
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