# DOMINIC J TEDESCO MD INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699236752
- **Authorized official:** DR. DOMINIC J. TEDESCO MD (OWNER)
- **Authorized official phone:** (805) 340-4861

## Contact information

- **Practice address:** 2400 BATH ST STE 102, SANTA BARBARA, CA 93105-4351
- **Practice address phone:** (805) 324-9144
- **Practice address fax:** (805) 324-9143
- **Mailing address:** 2400 BATH ST STE 102, SANTA BARBARA, CA 93105-4351
- **Mailing address phone:** (805) 324-9144
- **Mailing address fax:** (805) 324-9143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2019
- **Last updated:** 03/29/2019