Individual
BEVERLY LANSANG COSME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4491 INVERNESS DR, OCEANSIDE, CA 92057-5053
(760) 415-4484
Mailing address
PO BOX 555212, CAMP PENDLETON, CA 92055-5212
(760) 725-5079
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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