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Organization
EDWARD M. MIKOWICZ D.D.S., INC.
Active
Organization
EDWARD M. MIKOWICZ D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD M. MIKOWICZ D.D.S. (PRESIDENT)
(805) 736-6571
Entity
Organization
Contact information
Practice address
112 SOUTH B ST., LOMPOC, CA 93436
(805) 736-6571
(805) 737-5663
Mailing address
112 SOUTH B ST., LOMPOC, CA 93436
(805) 736-6571
(805) 737-5663
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
27458
CA
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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