| Mcaninch Dental Group, Inc. | |
|
1111 East Ocean Avenue Suite 9 Lompoc CA 93436 | |
| (805) 735-3665 | |
| (805) 735-5665 |
| Full Name | Mcaninch Dental Group, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1111 East Ocean Avenue, Lompoc, California |
| Authorized Official Name and Position | David Lewis Mcaninch (PRESIDENT) |
| Authorized Official Contact | 8057353665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcaninch Dental Group, Inc. 1111 East Ocean Avenue Suite 9 Lompoc CA 93436 Ph: (805) 735-3665 | Mcaninch Dental Group, Inc. 1111 East Ocean Avenue Suite 9 Lompoc CA 93436 Ph: (805) 735-3665 |
| NPI Number | 1528599305 |
|---|---|
| Provider Enumeration Date | 03/23/2017 |
| Last Update Date | 03/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528599305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 62204 (California) | Primary |
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