Provider Demographics
NPI:1851569974
Name:SANTOS, RAMON SANTIAGO (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:SANTIAGO
Last Name:SANTOS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2227 COTATI ST
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94542-2307
Mailing Address - Country:US
Mailing Address - Phone:510-537-2743
Mailing Address - Fax:
Practice Address - Street 1:2227 COTATI ST
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94542-2307
Practice Address - Country:US
Practice Address - Phone:510-537-2743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49208122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist