Provider Demographics
NPI:1811166804
Name:PINHO, ANDELE (DENTIST)
Entity type:Individual
Prefix:
First Name:ANDELE
Middle Name:
Last Name:PINHO
Suffix:
Gender:M
Credentials:DENTIST
Other - Prefix:
Other - First Name:DEL
Other - Middle Name:
Other - Last Name:PINHO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:19 W MICHELTORENA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2509
Mailing Address - Country:US
Mailing Address - Phone:805-568-3733
Mailing Address - Fax:
Practice Address - Street 1:19 W MICHELTORENA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2509
Practice Address - Country:US
Practice Address - Phone:805-568-3733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA496401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice