Provider Demographics
NPI:1336260686
Name:SANTOS-RANGSUEBSIN, SARAH (DDS, MS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SANTOS-RANGSUEBSIN
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12271 LA MIRADA BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-1336
Mailing Address - Country:US
Mailing Address - Phone:562-944-8877
Mailing Address - Fax:
Practice Address - Street 1:12271 LA MIRADA BLVD STE 202
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-1336
Practice Address - Country:US
Practice Address - Phone:562-944-8877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI55081223X0400X
CADDS494041223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics