Individual
LILIANA ALEXANDRA MORENO SANTANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 CARPENTER RD BLDG 525, FORT MYER, VA 22211-1009
(703) 696-3460
Mailing address
226 COLBERT ST, TANEYTOWN, MD 21787-2615
(443) 717-0512
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH22568
FL
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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