OrganizationActive
Mike'S Dental Lab
NPI 1134493943 · Dental Laboratory · Sacramento, CA
Provider details
- NPI number
- 1134493943
- Entity type
- Organization
- Primary specialty
- Dental LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Michael Tetrick, Certified Dental Technician(916) 487-2236
- License
- 347527 (CA)
Specialties & taxonomies
Laboratories
Practice location
1735 Professional Drive
Sacramento, CA 95825
Phone: (916) 487-2236
Approximate (ZIP-level) locationGet directions
Mailing address
1735 Professional Drive
Sacramento, CA 95825
Registry dates
- Enumerated
- 2012-02-27
- Last updated
- 2012-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.