Organization
OCEAN ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S. KIKEN DDS (MANAGING PARTNER)
(805) 682-0933
Entity
Organization
Contact information
Practice address
1111 E OCEAN AVE, #9, LOMPOC, CA 93436-7076
(805) 735-3665
Mailing address
1111 E OCEAN AVE, #9, LOMPOC, CA 93436-7076
(805) 735-3665
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
29327
CA
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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