Individual
SANTIAGO ALFONSO SURILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
41045
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
41045
CA
Other
Enumeration date
01/09/2007
Last updated
10/21/2014
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