Individual
AUGUSTO ADRIANO SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10144 SIERRA AVE, FONTANA, CA 92335-6725
(909) 428-0565
Mailing address
9538 SUNGLOW CT, RANCHO CUCAMONGA, CA 91730-5764
(909) 980-9187
(909) 980-9187
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53864
CA
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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