Individual
DR. CARLOS JAVIER SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4131 UNIVERSITY BLVD S STE 1, JACKSONVILLE, FL 32216-4346
(904) 708-1956
(904) 276-4648
Mailing address
4131 UNIVERSITY BLVD S STE 1, JACKSONVILLE, FL 32216-4346
(904) 708-1956
(904) 276-4648
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13959
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003180200
—
FL
Enumeration date
09/18/2007
Last updated
02/25/2013
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