Individual
DR. JORGE EDGARDO SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8024 CALLE CONCORDIA, SUITE 403, PONCE, PR 00717-1510
(787) 843-3595
(787) 984-3147
Mailing address
8024 CALLE CONCORDIA, SUITE 403, PONCE, PR 00717-1510
(787) 843-3595
(787) 984-3147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1088
PR
Other
Enumeration date
07/22/2005
Last updated
09/27/2007
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