RANDALL L LONSBROUGH D D S INC NPI 1841515202

NPI Information

RANDALL L LONSBROUGH D D S INC is a prosthodontics dentist in San Luis Obispo, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. RANDALL L LONSBROUGH D D S INC NPI is 1841515202. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

628 CALIFORNIA BLVD
SUITE F1
SAN LUIS OBISPO, CA
ZIP 93401-542
Phone: (805) 544-3204

The provider's authorized official is Randall L Lonsbrough .
The authorized official title is Dentist/owner and has the following contact phone number (805) 544-3204.

The enumeration date for this NPI number is 3/29/2010 and was last updated on 8/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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