Organization
NORTH BAY DERMATOLOGY & SKIN CANCER CENTER P C
Active
Organization
NORTH BAY DERMATOLOGY & SKIN CANCER CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTIAGO A CENTURION M.D. (PRESIDENT)
(707) 763-6816
Entity
Organization
Contact information
Practice address
106 LYNCH CREEK WAY, 8, PETALUMA, CA 94954-2356
(707) 763-6816
(707) 763-1730
Mailing address
106 LYNCH CREEK WAY, 8, PETALUMA, CA 94954-2356
(707) 763-6816
(707) 763-1730
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A86638
CA
Other
Enumeration date
04/29/2013
Last updated
01/14/2014
Update your record
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