Organization
RANDALL L LONSBROUGH D D S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL L LONSBROUGH DDS (DENTIST/OWNER)
(805) 544-3204
Entity
Organization
Contact information
Practice address
628 CALIFORNIA BLVD, SUITE F1, SAN LUIS OBISPO, CA 93401-2542
(805) 544-3204
Mailing address
628 CALIFORNIA BLVD, SUITE F1, SAN LUIS OBISPO, CA 93401-2542
(805) 544-3204
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
03/29/2010
Last updated
08/11/2010
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