Individual
DR. KIMBERLY JANA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, PS
Contact information
Practice address
22619 SE 64TH PL, STE 120, ISSAQUAH, WA 98027-5342
(425) 392-4888
(425) 392-8321
Mailing address
1116 YAKIMA AVE S, SEATTLE, WA 98144-3126
(206) 323-9114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10284
WA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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