| Name | Value |
|---|---|
| PROVIDER TYPE | Laboratories |
| CLASSIFICATION | Dental Laboratory |
| DEFINITION | A commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. |
| STATUS | Active |
| X12 CODE | 292200000X |
| INDIVIDUAL/NON | NON-INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5252729 |
| EFFECTIVE DATE/TIME |
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