Rueda, Santiago
Rueda, Santiago is an individual health care provider with primary practice located at 2100 Hildarose Dr #3, Silver Spring MD 20902-5646. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rueda, Santiago can be contacted via phone (410) 272-1535.Contact Information
Primary practice address
2100 Hildarose Dr #3
Silver Spring MD 20902-5646
Phone: (410) 272-1535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 13648 | Maryland |
Profile Details
| NPI number | 1790813129 |
|---|---|
| LBN Legal business name | Rueda, Santiago |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Feb 13th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790813129 | NPPES |
| Maryland | Other | MD 13648 | MD LICENSE |
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