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1790136810
ERICSON DENTAL GROUP-LOMPOC
LOMPOC, CA
NPI
1790136810
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Entity Type
Organization
Authorized Contact
STEN M ERICSON
Owner
805-735-2702
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2016-06-30
Last Update Date
2016-06-30
Business Address
ERICSON DENTAL GROUP-LOMPOC
1201 E OCEAN AVE STE. G
LOMPOC, CA 93436-7081
Phone number: 805-735-2702
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Mailing Address
ERICSON DENTAL GROUP-LOMPOC
1201 E OCEAN AVE STE. G
LOMPOC, CA 93436-7081
Phone number: 805-735-2702
Copy
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