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Organization
EVAN R SANTIAGO DDS MSD INC
Active
Organization
EVAN R SANTIAGO DDS MSD INC
Active
Other names
East Bay Periodontics and Implant Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
6333 TELEGRAPH AVE, STE 101, OAKLAND, CA 94609
(510) 547-1300
Mailing address
6333 TELEGRAPH AVE, STE 101, OAKLAND, CA 94609
(510) 547-1300
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
09/05/2025
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