Individual
DOMINIC J. TEDESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 N BRENT ST, SUITE 102, VENTURA, CA 93003-2816
(805) 643-2375
(805) 643-3511
Mailing address
3838 SAN DIMAS ST, SUITE A-100, BAKERSFIELD, CA 93301-2284
(661) 327-8538
(661) 327-5432
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A45715
CA
Other
Enumeration date
09/25/2006
Last updated
07/09/2007
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