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Prodent Dental Lab — NPI 1477884641, Vacaville, CA | NPI Central

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Prodent Dental Lab

NPI 1477884641 · Dental Laboratory · Vacaville, CA

Provider details

NPI number: 1477884641
Entity type: Organization
Primary specialty: Dental LaboratoryLaboratories
Organization subpart: No
Authorized official: Percival Manzano, Lab Technician(707) 655-8824
License: 016761 (CA)

Specialties & taxonomies

Dental LaboratoryPrimary292200000XLicense 016761 (CA)
Laboratories

Practice location

3000 Alamo Dr Ste 108

Vacaville, CA 95687-6345

Phone: (707) 655-8824

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

3000 Alamo Dr Ste 108

Vacaville, CA 95687-6345

Registry dates

Enumerated: 2010-01-27
Last updated: 2010-01-28

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