| Dane Dudley Dds Inc. | |
|
1111 E Ocean Ave # 11 Lompoc CA 93436-7076 | |
| (805) 736-6579 | |
| Not Available |
| Full Name | Dane Dudley Dds Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1111 E Ocean Ave # 11, Lompoc, California |
| Authorized Official Name and Position | Dane Dudley (PRESIDENT) |
| Authorized Official Contact | 8056308774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dane Dudley Dds Inc. 1111 E Ocean Ave # 11 Lompoc CA 93436-7076 Ph: (805) 736-6579 | Dane Dudley Dds Inc. 1111 E Ocean Ave # 11 Lompoc CA 93436-7076 Ph: (805) 736-6579 |
| NPI Number | 1467922518 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 12/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467922518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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