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Contact Information

LEESETTE DE SANTIAGO, RDA
6130 CAMINO REAL #12
RIVERSIDE, CA92509
 Phone: 951-224-2253
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for LEESETTE DE SANTIAGO · (Female)

NPI Number 1720530744
Status Active
Credentials RDA
Entity Individual
Enumeration date 10/25/2016
Last updated 10/25/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 60639
  • CA Medicaid 60639
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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