Santiago, Evan Raphael

Santiago, Evan Raphael is an individual health care provider with primary practice located at 6333 Telegraph Ave , Oakland CA 94609-1359. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Santiago, Evan Raphael can be contacted via phone (510) 547-1300.

Contact Information

Primary practice address
6333 Telegraph Ave Oakland CA 94609-1359
Phone: (510) 547-1300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 64119 California

Profile Details

NPI number 1033525738
LBN Legal business name Santiago, Evan Raphael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2014
Last updated Oct 26th, 2023 - about 2 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.

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