Individual provider · Type 1 NPI
Santiago Alfonso Surillo, DDS MS
Pediatric Dentistry · La Mesa, CA
NPI number
1669521050
Active
Practice location
4700 Spring Street, Suite 104
La Mesa, CA 91941
Fax (619) 461-2508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 41045 (CA) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 41045 (CA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3 other providers at this address
About NPI 1669521050
Santiago Alfonso Surillo, DDS MS's National Provider Identifier is 1669521050, issued on Jan 9, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in La Mesa, CA. The record was last updated on Oct 21, 2014.