| Santa Maria Pediatric Dental Group | |
|
570 E Betteravia Rd Ste C Santa Maria CA 93454-8805 | |
| (805) 922-2888 | |
| (805) 925-0888 |
| Full Name | Santa Maria Pediatric Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 570 E Betteravia Rd, Santa Maria, California |
| Authorized Official Name and Position | Keith Tam (OWNER) |
| Authorized Official Contact | 9493229778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Maria Pediatric Dental Group 570 E Betteravia Rd Ste C Santa Maria CA 93454-8805 Ph: (805) 922-2888 | Santa Maria Pediatric Dental Group 570 E Betteravia Rd Ste C Santa Maria CA 93454-8805 Ph: (805) 922-2888 |
| NPI Number | 1922541481 |
|---|---|
| Provider Enumeration Date | 11/30/2016 |
| Last Update Date | 11/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922541481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 57293 (California) | Primary |
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