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Organization
OCEAN ORAL AND MAXILLOFACIAL SURGERY, INC.
Active
Organization
OCEAN ORAL AND MAXILLOFACIAL SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT STEVEN KIKEN DDS (OFFICER)
(805) 735-3665
Entity
Organization
Contact information
Practice address
1111 E OCEAN AVE STE 9, LOMPOC, CA 93436-2501
(805) 735-3665
(805) 735-5665
Mailing address
1111 E OCEAN AVE STE 9, LOMPOC, CA 93436-2501
(805) 735-3665
(805) 735-5665
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29327
CA
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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