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Mr. Kenneth M Goldberg, DMD
Oral and Maxillofacial Surgery (Dentist) in Santa Maria, California
NPI 1326036120

Kenneth M Goldberg is a Oral and Maxillofacial Surgery (Dentist) based in Santa Maria, CA and is specialized in Oral and Maxillofacial Surgery. Kenneth M Goldberg practices in Santa Maria, CA and has the professional credentials of DMD. The NPI Number for Kenneth M Goldberg is 1326036120 and holds a License No. DI018568 (California).

The current practice location address for Kenneth M Goldberg is 201 N College Drive, Santa Maria, CA and can be reached out via phone at 805-928-7611 and via fax at 805-349-8551.

Location: 201 N College Drive, Santa Maria, CA, 93454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326036120
Provider Name
Kenneth M Goldberg
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
201 N College Drive, Santa Maria, CA, 93454
Phone Number
805-928-7611
Fax Number
805-349-8551
Provider Enumeration Date
10/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7056508 05 NJ
institution
Provider Business Practice Location Address Details
Address
201 N College Drive
City
Santa Maria
State
California
Zip
93454
Phone Number
805-928-7611
Fax Number
805-349-8551
person
Provider Business Mailing Address Details
Address
201 N College Drive
City
Santa Maria
State
California
Zip
93454
Phone Number
805-928-7611
Fax Number
805-349-8551
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DI018568 (New Jersey)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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