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NPI Code Detail

MEDICARE: ASHLIE SANTISTEVEN RDH

MEDICARE: ASHLIE SANTISTEVEN RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist

General Provider Information

NPI Number : 1720910375
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLIE SANTISTEVEN RDH
Provider Business Mailing Address
First Line : 15492 OAK SPRINGS RD
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-2423
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15492 OAK SPRINGS RD
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-2423
Country : US
Telephone Number : 909-544-8693
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ ASHLIE SANTISTEVEN RDH” Practice Location

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