Individual
DR. ANDRE CHARLES SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
BLDG H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND ATTN:MEDICAL STAFF SVCS, JACKSONVILLE, FL 32212-0140
(760) 725-5102
(760) 763-6510
Mailing address
8468 GRAY FOX LN, KING GEORGE, VA 22485-3571
(540) 775-5058
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008447
VA
Other
Enumeration date
01/17/2006
Last updated
02/13/2009
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