| Edward M. Mikowicz D.d.s., Inc. | |
|
112 South B St. Lompoc CA 93436 | |
| (805) 736-6571 | |
| (805) 737-5663 |
| Full Name | Edward M. Mikowicz D.d.s., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 112 South B St., Lompoc, California |
| Authorized Official Name and Position | Edward M. Mikowicz (PRESIDENT) |
| Authorized Official Contact | 8057366571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward M. Mikowicz D.d.s., Inc. 112 South B St. Lompoc CA 93436 Ph: (805) 736-6571 | Edward M. Mikowicz D.d.s., Inc. 112 South B St. Lompoc CA 93436 Ph: (805) 736-6571 |
| NPI Number | 1710029442 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710029442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 27458 (California) | Primary |
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