Individual
LAUREN GABRIELLE ALFONSO SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
609 PAUL HUFF PKWY NW, CLEVELAND, TN 37312-2970
(423) 244-0783
Mailing address
426 HERRINGBONE CT UNIT 28, FRANKLIN, TN 37064-4095
(810) 730-4049
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11795
TN
1223G0001X
General Practice Dentistry
105332
CA
Other
Enumeration date
10/20/2020
Last updated
10/17/2023
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