Individual
JOSEPH DEAN CENTENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 S STRATFORD AVE, SUITE C, SANTA MARIA, CA 93454-5908
(805) 348-3700
(805) 683-3400
Mailing address
PO BOX 1206, GOLETA, CA 93116-1206
(805) 964-3383
(805) 683-3400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A64528
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A645280
—
CA
Enumeration date
03/12/2007
Last updated
12/04/2015
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