Organization
MYLA RODRIGUEZ-SANTIAGO, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYLA RODRIGUEZ-SANTIAGO (PRESIDENT)
(818) 726-1597
Entity
Organization
Contact information
Practice address
1321 N VERMONT AVE, SUITE 6, LOS ANGELES, CA 90027-6307
(323) 662-8354
Mailing address
3323 ALABAMA ST, GLENDALE, CA 91214-1231
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
58558
CA
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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