DR. Carlis Chanelle Santiago, DDS

NPI #1538858147 in Estero, Florida

Provider Information

NPI Number: 1538858147
Entity Type: Individual
Name: DR. Carlis Chanelle Santiago, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 1, 2023
Last Updated: Jul 31, 2023

Practice Location

Address: 22911 LYDEN DR STE B
City: Estero
State: Florida
ZIP Code: 33928-7046
Phone: (393) 123-1322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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