Organization
A & T SANTOS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER GUZMAN SANTOS D.D.S. (OWNER)
(909) 393-5300
Entity
Organization
Contact information
Practice address
4183 CHINO HILLS PKWY, SUITE H, CHINO HILLS, CA 91709-3781
(909) 393-5300
Mailing address
4183 CHINO HILLS PKWY, SUITE H, CHINO HILLS, CA 91709-3781
(909) 393-5300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
35987
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35987
DENTIST LICENSE
CA
Enumeration date
05/16/2007
Last updated
08/15/2011
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