Santa Barbara Dental Practice | |
616 N Milpas St Santa Barbara CA 93103-3027 | |
(805) 965-8141 | |
Not Available |
Full Name | Santa Barbara Dental Practice |
---|---|
Speciality | Dentist |
Location | 616 N Milpas St, Santa Barbara, California |
Authorized Official Name and Position | Ronald E Leach (OWNER) |
Authorized Official Contact | 8059658141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Santa Barbara Dental Practice Po Box 41830 Santa Barbara CA 93140-1830 Ph: (805) 965-8141 | Santa Barbara Dental Practice 616 N Milpas St Santa Barbara CA 93103-3027 Ph: (805) 965-8141 |
NPI Number | 1669629499 |
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Provider Enumeration Date | 08/22/2008 |
Last Update Date | 08/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669629499 | NPI | - | NPPES |
B28185-01 | Other | CA | DENTI-CAL |
006287 | Other | CA | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 28185 (California) | Primary |
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