E. Michael Mosig Dds And Mary Lynn Lukasik Dds, A Dental Corporation | |
1815 Via El Prado Ste 400 Redondo Beach CA 90277-5727 | |
(310) 792-4325 | |
(310) 792-4328 |
Full Name | E. Michael Mosig Dds And Mary Lynn Lukasik Dds, A Dental Corporation |
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Speciality | Dentist |
Location | 1815 Via El Prado Ste 400, Redondo Beach, California |
Authorized Official Name and Position | Erich Michael Mosig (PRESIDENT) |
Authorized Official Contact | 3107924325 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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E. Michael Mosig Dds And Mary Lynn Lukasik Dds, A Dental Corporation 1815 Via El Prado Ste 400 Redondo Beach CA 90277-5727 Ph: (310) 792-4325 | E. Michael Mosig Dds And Mary Lynn Lukasik Dds, A Dental Corporation 1815 Via El Prado Ste 400 Redondo Beach CA 90277-5727 Ph: (310) 792-4325 |
NPI Number | 1477262004 |
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Provider Enumeration Date | 11/22/2022 |
Last Update Date | 11/22/2022 |
Identifier | Type | State | Issuer |
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1477262004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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