Individual
ENRICO RESURRECCION SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
2310 CRAVEN ST. BLDG. 3230, SAN DIEGO, CA 92104
(619) 556-8240
Mailing address
2840-1 ATHENS RD., CHULA VISTA, CA 91915
(619) 869-3334
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH24482
FL
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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