Provider Demographics
NPI:1245883958
Name:SANTIAGO DEL TORO, ZULEIMA (DMD)
Entity type:Individual
Prefix:
First Name:ZULEIMA
Middle Name:
Last Name:SANTIAGO DEL TORO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 NW STRATFORD DR
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-7040
Mailing Address - Country:US
Mailing Address - Phone:515-444-9703
Mailing Address - Fax:
Practice Address - Street 1:4944 FRANKLIN AVE STE A
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-1952
Practice Address - Country:US
Practice Address - Phone:515-277-0222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-22
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA096971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice