# RANDALL L LONSBROUGH D D S INC

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

## Provider details

- **NPI number:** 1841515202
- **Authorized official:** DR. RANDALL L LONSBROUGH DDS (DENTIST/OWNER)
- **Authorized official phone:** (805) 544-3204

## Contact information

- **Practice address:** 628 CALIFORNIA BLVD, SUITE F1, SAN LUIS OBISPO, CA 93401-2542
- **Practice address phone:** (805) 544-3204
- **Mailing address:** 628 CALIFORNIA BLVD, SUITE F1, SAN LUIS OBISPO, CA 93401-2542
- **Mailing address phone:** (805) 544-3204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | NULL | Yes |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2010
- **Last updated:** 08/11/2010