OrganizationActive
C-Dental X-Ray, Inc.
NPI 1609242205 · Dental Laboratory · San Rafael, CA
Provider details
- NPI number
- 1609242205
- Entity type
- Organization
- Primary specialty
- Dental LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jerome Peck, Ceo(650) 207-6209
- License
- RHP00053519 (CA)
Specialties & taxonomies
Laboratories
Practice location
1050 Northgate Dr
Ste. 110
San Rafael, CA 94903-2526
Phone: (415) 472-1323
Approximate (ZIP-level) locationGet directions
Mailing address
450 Sutter St
San Francisco, CA 94108-4206
Registry dates
- Enumerated
- 2015-08-18
- Last updated
- 2015-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.