Individual
MS. CITLALI VANESSA SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
1814 W LINCOLN AVE, ANAHEIM, CA 92801-6730
(714) 805-7719
Mailing address
1814 W LINCOLN AVE, ANAHEIM, CA 92801-6730
(714) 805-7719
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
84766
CA
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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