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Individual

DR. ENRIQUE A SANTIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D., MBA/HCM

Contact information

Practice address
7225 N MONA LISA RD, STE 203, TUCSON, AZ 85741-4529
(520) 888-0510
(520) 888-1688
Mailing address
8629 N JOHNNY MILLER DR, TUCSON, AZ 85742-9795
(787) 412-0021
(787) 998-8464

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008588
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1523449
TRICARE
PR
01
40993
SSS
PR
01
4724
INTERNATIONAL MEDICAL CAR
PR
Enumeration date
01/03/2006
Last updated
12/16/2019
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