Individual
MARIA IRENE SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 E GAGE AVE, SUITE A, LOS ANGELES, CA 90001-1771
(323) 983-4000
Mailing address
6601 EL SELINDA AVE, BELL GARDENS, CA 90201-3109
(323) 560-1636
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
44094
CA
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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