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Individual

INGRID LAWATY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
601 EAST ARRELLAGA STREET, SUITE 203, SANTA BARBARA, CA 93103-4236
(805) 965-9107
(805) 965-9108
Mailing address
601 EAST ARRELLAGA STREET, SUITE 203, SANTA BARBARA, CA 93103-4236
(805) 965-9107
(805) 965-9108

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
41733
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
77-0545644
TAX I D
CA
Enumeration date
03/06/2007
Last updated
07/07/2009
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