| Ericson Dental Group-lompoc | |
|
1201 E Ocean Ave Ste. G Lompoc CA 93436-7081 | |
| (805) 735-2702 | |
| Not Available |
| Full Name | Ericson Dental Group-lompoc |
|---|---|
| Speciality | Dentist |
| Location | 1201 E Ocean Ave, Lompoc, California |
| Authorized Official Name and Position | Sten M Ericson (OWNER) |
| Authorized Official Contact | 8057352702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ericson Dental Group-lompoc 1201 E Ocean Ave Ste. G Lompoc CA 93436-7081 Ph: (805) 735-2702 | Ericson Dental Group-lompoc 1201 E Ocean Ave Ste. G Lompoc CA 93436-7081 Ph: (805) 735-2702 |
| NPI Number | 1790136810 |
|---|---|
| Provider Enumeration Date | 06/30/2016 |
| Last Update Date | 06/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790136810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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