Individual
DR. JOSE E DELOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15717 W JENAN DR, SURPRISE, AZ 85379-1026
(623) 399-6215
Mailing address
2105 N CITRUS RD, GOODYEAR, AZ 85395-9204
(623) 853-0304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D06750
AZ
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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