Ivan Jonathan Santos, DDS
NPI #1659730182 in Lakeside, California
Provider Information
- NPI Number
- 1659730182
- Entity Type
- Individual
- Name
- Ivan Jonathan Santos, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Feb 11, 2016
- Last Updated
- Feb 11, 2016
Practice Location
- Address
- 12110 WOODSIDE AVE
- City
- Lakeside
- State
- California
- ZIP Code
- 92040-3012
- Phone
- (619) 443-0444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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