Individual
VIRGINIA SANTIAGO WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PROPHY TECH
Contact information
Practice address
21 AREA DENTAL CLINIC, BLDG 210735 C ST, CAMP PENDLETON, CA 92055-5221
(760) 725-2569
Mailing address
PO BOX 555221, CAMP PENDLETON, CA 92055-5221
(760) 725-2569
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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