NPI | 1467922518 |
---|---|
Doing Business As | LOMPOC FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | DANE DUDLEY President 805-630-8774 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-12-03 |
Last Update Date | 2018-12-03 |