| Organization Name: | LANEY DENTAL LAB INC |
| NPI Number: | 1043357734 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CINDY K LANEY (V PRESIDENT SECRETARY) |
| Mailing Address: | 413 Bridge Street Bridgewater |
| State: | PA US |
| Postal Code: | 150092908 |
| Phone Number: | 7247282161 |
| Fax Number: | 7247285122 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 292200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Laboratories |
| Taxonomy Classification: | Dental Laboratory |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A commercial laboratory specializing in the construction of dental appliances that conform to a dentist |