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NPI 1336212364

NPI 1336212364 : CRISTINA E. SANTIAGO DMD : BAYAMON, PR

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General NPI Number Information
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    NPI Number           |    1336212364
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    Entity Type          |    Individual 
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    Provider Name        |    CRISTINA E. SANTIAGO DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/16/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    CANTON MALL FA-10
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    City                 |    BAYAMON
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    State                |    PR
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    Zip                  |    00952
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    Country              |    US
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    Telephone            |    787-599-2303
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    Fax                  |    787-780-8065
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Provider Business Mailing Address
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    Address Line         |    BOSQUE DE LAS PALMAS 247 
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    City                 |    BAYAMON
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    State                |    PR
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    Zip                  |    00956
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    Country              |    US
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    Telephone            |    787-396-4837
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    Fax                  |    787-780-8065
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    2738
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    License Number State |    PR
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