Organization
LANZON MCANINCH DENTAL PARTNERSHIP
Active
Other names
Lompoc Oral and Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEWIS MCANINCH IV DDS (DOCTOR)
(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
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598191488
—
CA
05
—
1972723260
—
CA
Enumeration date
06/13/2019
Last updated
06/13/2019
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