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Organization

PHILIP ENTE MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIP ENTE MD (OWNER)
(805) 735-7623
Entity
Organization

Contact information

Practice address
1111 E OCEAN AVE, LOMPOC, CA 93436-7076
(805) 735-7623
(805) 735-7224
Mailing address
1111 E. OCEAN AVENUE, LOMPOC, CA 93436
(805) 735-7623
(805) 735-7224

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A42029
CA

Other

Enumeration date
12/08/2011
Last updated
12/08/2011
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