Organization
AZ DENTAL LABORATORY LLC
Active
Organization
AZ DENTAL LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA FLIT (OWNER)
(517) 420-2303
Entity
Organization
Contact information
Practice address
15028 W JACKPOT WAY, SURPRISE, AZ 85374-4439
(602) 802-9751
Mailing address
9847 W MOHAWK LN, PEORIA, AZ 85382-2293
(517) 420-2303
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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