# E. MICHAEL MOSIG DDS AND MARY LYNN LUKASIK DDS, A DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477262004
- **Authorized official:** DR. ERICH MICHAEL MOSIG DDS (PRESIDENT)
- **Authorized official phone:** (310) 792-4325

## Contact information

- **Practice address:** 1815 VIA EL PRADO STE 400, REDONDO BEACH, CA 90277-5727
- **Practice address phone:** (310) 792-4325
- **Practice address fax:** (310) 792-4328
- **Mailing address:** 1815 VIA EL PRADO STE 400, REDONDO BEACH, CA 90277-5727
- **Mailing address phone:** (310) 792-4325
- **Mailing address fax:** (310) 792-4328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2022
- **Last updated:** 11/22/2022