Individual
DR. NESTOR M SANTIAGO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
C/O ISLAND OHANA DENTAL, 101 AUPUNI ST, PH 1014-C, HILO, HI 96720
(808) 935-4800
(808) 935-4870
Mailing address
95-1015 MEAKINO ST, MILILANI, HI 96789-5955
(808) 780-4136
(808) 935-4870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT 2043
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204304
DELTA DENTAL
HI
05
—
52089206
—
HI
01
—
D237380
HMSA
HI
Enumeration date
06/15/2006
Last updated
07/08/2007
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