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Organization

ERICSON COMMUNITY CARE DENTAL CLINIC LOMPOC INC

Active
Other names
Community Care Dental Group Lompoc
Organization subpart
No

Provider details

NPI number
Authorized official
STEN ERICSON DDS (OWNDER)
(805) 708-7866
Entity
Organization

Contact information

Practice address
1201 E OCEAN AVE STE G, LOMPOC, CA 93436-7083
(805) 735-2702
Mailing address
1201 E OCEAN AVE STE G, LOMPOC, CA 93436-7083
(805) 735-2702

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
01/23/2018
Last updated
01/23/2018
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