DANIEL R. TAKETA

LOMPOC, CA
NPI1063649564
Entity TypeOrganization
Authorized ContactDANIEL TAKETA
Owner
805-736-7010
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: CA  7368TPA)
Enumeration Date2009-06-11
Last Update Date2009-06-11
Business Address
DANIEL R. TAKETA
611 E OCEAN AVE
LOMPOC, CA 93436-6914
Phone number: 805-736-7010
Mailing Address
DANIEL R. TAKETA
611 E OCEAN AVE
LOMPOC, CA 93436-6914
Phone number: 805-736-7010
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