Individual
DR. EVAN RAPHAEL SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6333 TELEGRAPH AVE, OAKLAND, CA 94609-1359
(510) 547-1300
Mailing address
6333 TELEGRAPH AVE STE 101, OAKLAND, CA 94609-1359
(510) 547-1300
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
64119
CA
Other
Enumeration date
07/02/2014
Last updated
10/26/2023
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