Organization
GOLETA NEIGHBORHOOD DENTAL CLINIC
Active
Parent organization
SANTA BARBARA NEIGHBORHOOD CLINICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANTA BARBARA NEIGHBORHOOD CLINICS
Authorized official
DR. CHARLES CAMILLO FENZI M.D. (CHIEF EXECUTIVE OFFICER)
(805) 617-7850
Entity
Organization
Contact information
Practice address
164 KINMAN AVE, GOLETA, CA 93117-3481
(805) 617-7900
(805) 617-7899
Mailing address
915 N MILPAS ST, 2ND FLOOR, SANTA BARBARA, CA 93103-2331
(805) 617-7850
(805) 963-8880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
03/03/2016
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