OrganizationActive
Mccormack Dental Imaging
NPI 1689045718 · Dental Laboratory · San Diego, CA
Provider details
- NPI number
- 1689045718
- Entity type
- Organization
- Primary specialty
- Dental LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jerome Peck, Ceo(415) 421-1389
- License
- RHP00053519 (CA)
Specialties & taxonomies
Laboratories
Practice location
1550 Hotel Cir N
Ste. 340
San Diego, CA 92108-2901
Phone: (619) 296-6132
Approximate (ZIP-level) locationGet directions
Mailing address
450 Sutter St
San Francisco, CA 94108-4206
Registry dates
- Enumerated
- 2015-10-15
- Last updated
- 2015-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.