| Central Coast Dental Anesthesia | |
|
1333 De La Vina St Ste H Santa Barbara CA 93101-5159 | |
| (805) 636-3956 | |
| Not Available |
| Full Name | Central Coast Dental Anesthesia |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1333 De La Vina St Ste H, Santa Barbara, California |
| Authorized Official Name and Position | Erik Daniel Winn (PRESIDENT) |
| Authorized Official Contact | 8056363956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Coast Dental Anesthesia 1531 Holiday Hill Rd Goleta CA 93117-1836 Ph: (805) 636-3956 | Central Coast Dental Anesthesia 1333 De La Vina St Ste H Santa Barbara CA 93101-5159 Ph: (805) 636-3956 |
| NPI Number | 1306373568 |
|---|---|
| Provider Enumeration Date | 05/18/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306373568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 62214 (California) | Primary |
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