OrganizationActive
Mccormack Dental Imaging
NPI 1104286996 · Dental Laboratory · Encinitas, CA
Provider details
- NPI number
- 1104286996
- Entity type
- Organization
- Primary specialty
- Dental LaboratoryLaboratories
- Authorized official
- Jerome Peck, Ceo
- License
- RHP00053519 (CA)
Practice location
317 N El Camino Real
Ste. 301
Encinitas, CA 92024-2811
Phone: (760) 942-2133
Mailing address
450 Sutter St
San Francisco, CA 94108-4206
Registry dates
- Enumerated
- 2016-03-07
- Last updated
- 2016-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.