NPI 1003052796

Maria Irene Santiago

Practitioner Dental Assistant Los Angeles, CA

Practice location

Address: 1423 E Gage Ave Suite a, Los Angeles, CA 90001-1771
Phone: (323) 983-4000
Mailing address: 6601 El Selinda Ave, Bell Gardens, CA 90201-3109

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 44094 (CA)

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Registry record

NPI: 1003052796
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2008
Record last updated: 30 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.