Individual
MISS MARILENA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4323 HILL ST, COLUMBIA, SC 29207-6022
(803) 751-6213
Mailing address
4323 HILL ST, COLUMBIA, SC 29207-6022
(803) 751-6213
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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