E. Michael Mosig DDS and Mary Lynn Lukasik Dds, a Dental Corporation
NPI #1477262004 in Redondo Beach, California
Provider Information
- NPI Number
- 1477262004
- Entity Type
- Organization
- Organization Name
- E. Michael Mosig DDS and Mary Lynn Lukasik Dds, a Dental Corporation
- Primary Specialty
- Dentist
- Enumeration Date
- Nov 22, 2022
- Last Updated
- Nov 22, 2022
Practice Location
- Address
- 1815 VIA EL PRADO STE 400
- City
- Redondo Beach
- State
- California
- ZIP Code
- 90277-5727
- Phone
- (310) 792-4325
Authorized Official
- Name
- DR. ERICH MICHAEL MOSIG, DDS
- Title
- PRESIDENT
- Phone
- (310) 792-4325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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