Organization
LA SANTOS STARR DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DOS SANTOS (MANAGER)
(619) 204-8082
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD STE 404, LOS ANGELES, CA 90017-3905
(323) 600-5287
Mailing address
6699 ALVARADO RD STE 2202, SAN DIEGO, CA 92120-5293
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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