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NPI 1467734491

OrganizationActive

Brockton Dental X-Ray Lab., Inc.

NPI 1467734491 · Dental Laboratory · Riverside, CA

Provider details

NPI number: 1467734491
Entity type: Organization
Primary specialty: Dental LaboratoryLaboratories
Authorized official: Michael Carpenter, Owner
License: RHP7971 (CA)

Practice location

6800 Brockton Ave Ste 3

Riverside, CA 92506-3810

Phone: (951) 682-7505

Fax: (951) 682-7549

More CA providers

Mailing address

6800 Brockton Ave Ste 3

Riverside, CA 92506-3810

Registry dates

Enumerated: 2011-09-15
Last updated: 2011-09-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brockton Dental X-Ray Lab., Inc. — NPI 1467734491, Riverside, CA | NPI Central