Organization
EDWARD M. MIKOWICZ D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD M. MIKOWICZ D.D.S. (PRESIDENT)
(805) 736-6571
Entity
Organization
Contact information
Practice address
112 SOUTH B ST., LOMPOC, CA 93436
(805) 736-6571
(805) 737-5663
Mailing address
112 SOUTH B ST., LOMPOC, CA 93436
(805) 736-6571
(805) 737-5663
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
27458
CA
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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