Provider Demographics
NPI:1710480389
Name:ALETA, ANNA LYN SANTECO (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNA LYN
Middle Name:SANTECO
Last Name:ALETA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ANNA LYN
Other - Middle Name:RODRIGUEZ
Other - Last Name:SANTECO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:101 RISA WAY APT 139
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-5011
Mailing Address - Country:US
Mailing Address - Phone:571-275-8062
Mailing Address - Fax:
Practice Address - Street 1:2471 COHASSET RD
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1315
Practice Address - Country:US
Practice Address - Phone:530-961-9288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-09
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102319122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist