Surillo, Santiago Alfonso

Surillo, Santiago Alfonso is an individual health care provider with primary practice located at 4700 Spring Street Suite 104, La Mesa CA 91941. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is his primary health care specialty. Surillo, Santiago Alfonso can be contacted via phone (619) 461-6166.

Contact Information

Primary practice address
4700 Spring Street Suite 104 La Mesa CA 91941
Phone: (619) 461-6166
Fax: (619) 461-2508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 41045 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 41045 California

Profile Details

NPI number 1669521050
LBN Legal business name Surillo, Santiago Alfonso
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Oct 21st, 2014 - about 10 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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