OrganizationActive
Layton Dental Lab
NPI 1740628254 · Dental Laboratory · Pewaukee, WI
Provider details
- NPI number
- 1740628254
- Entity type
- Organization
- Primary specialty
- Dental LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Richard Bong, President(262) 691-7100
Specialties & taxonomies
Laboratories
Practice location
495 Hickory St
Pewaukee, WI 53072-3537
Phone: (262) 691-7100
Approximate (ZIP-level) locationGet directions
Mailing address
495 Hickory St
Pewaukee, WI 53072-3537
Registry dates
- Enumerated
- 2013-06-06
- Last updated
- 2013-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.