Provider Demographics
NPI:1962657528
Name:FIGUEROA, ANGELLA SANTOS (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANGELLA
Middle Name:SANTOS
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5205 S DURANGO DR STE 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-0195
Mailing Address - Country:US
Mailing Address - Phone:702-384-2828
Mailing Address - Fax:
Practice Address - Street 1:5205 S DURANGO DR STE 3
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-0195
Practice Address - Country:US
Practice Address - Phone:702-384-2828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV57441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice