| NPI | 1972001196 |
|---|---|
| Doing Business As | COMMUNITY CARE DENTAL GROUP LOMPOC |
| Entity Type | Organization |
| Authorized Contact | STEN ERICSON Ownder 805-708-7866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |