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Organization
MCANINCH DENTAL GROUP, INC.
Active
Organization
MCANINCH DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEWIS MCANINCH IV DDS (PRESIDENT)
(805) 735-3665
Entity
Organization
Contact information
Practice address
1111 EAST OCEAN AVENUE, SUITE 9, LOMPOC, CA 93436
(805) 735-3665
(805) 735-5665
Mailing address
1111 EAST OCEAN AVENUE, SUITE 9, LOMPOC, CA 93436
(805) 735-3665
(805) 735-5665
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
62204
CA
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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