Organization
RONALD B. MEAD, BRUCE L. WHITCHER, & ERIC M. ALLTUCKER, DDS
Active
Other names
Central Coast Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD B. MEAD DDS (ORAL SURGEON)
(805) 541-3220
Entity
Organization
Contact information
Practice address
990 BOYSEN AVE, SAN LUIS OBISPO, CA 93405-1313
(805) 541-3220
(805) 541-3704
Mailing address
990 BOYSEN AVE, SAN LUIS OBISPO, CA 93405-1313
(805) 541-3220
(805) 541-3704
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
D46732
CA
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
DB023450
CA
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
DX030128
CA
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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