| Shirley Santos,dmd Inc | |
|
17482 Irvine Blvd Suite B Tustin CA 92780-3032 | |
| (714) 367-0222 | |
| (714) 368-0225 |
| Full Name | Shirley Santos,dmd Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17482 Irvine Blvd, Tustin, California |
| Authorized Official Name and Position | Shirley Ocampo Santos (PRESIDENT) |
| Authorized Official Contact | 7143680222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shirley Santos,dmd Inc 17482 Irvine Blvd Suite B Tustin CA 92780-3032 Ph: (714) 367-0222 | Shirley Santos,dmd Inc 17482 Irvine Blvd Suite B Tustin CA 92780-3032 Ph: (714) 367-0222 |
| NPI Number | 1851681738 |
|---|---|
| Provider Enumeration Date | 04/13/2011 |
| Last Update Date | 04/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851681738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53944 (California) | Primary |
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