Organization
E. MICHAEL MOSIG DDS AND MARY LYNN LUKASIK DDS, A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICH MICHAEL MOSIG DDS (PRESIDENT)
(310) 792-4325
Entity
Organization
Contact information
Practice address
1815 VIA EL PRADO STE 400, REDONDO BEACH, CA 90277-5727
(310) 792-4325
(310) 792-4328
Mailing address
1815 VIA EL PRADO STE 400, REDONDO BEACH, CA 90277-5727
(310) 792-4325
(310) 792-4328
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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