Most Relevant Information
Provider Data
| NPI Number: | 1003052796 |
| Provider Name: | MARIA IRENE SANTIAGO |
| Entity Type: | Individual |
| Taxonomy Code: | 126800000X |
| Specialty: | Dental Assistant |
| License Number: | 44094 |
Most Important Dates
| Enumeration Date: | 12/30/2008 |
| Last Updated: | 12/30/2008 |
Provider Practice Location
1423 E GAGE AVE
SUITE A
LOS ANGELES
CA
900011771
Practice Location Phone/Fax
| Phone: | 3239834000 |
| Fax: |
Provider Mailing Location
6601 EL SELINDA AVE
BELL GARDENS
CA
902013109
Provider Mailing Phone/Fax
| Phone: | 3235601636 |
| Fax: |