Provider Demographics
NPI:1881731834
Name:DAVID-SANTOS, MARIA PAZ SUNTAY (DMD)
Entity type:Individual
Prefix:DR
First Name:MARIA PAZ
Middle Name:SUNTAY
Last Name:DAVID-SANTOS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MARIA PAZ
Other - Middle Name:SUNTAY
Other - Last Name:DAVID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2300 FIRST ST STE 106
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-3141
Mailing Address - Country:US
Mailing Address - Phone:925-337-5531
Mailing Address - Fax:925-292-7098
Practice Address - Street 1:2300 FIRST ST STE 106
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-3141
Practice Address - Country:US
Practice Address - Phone:925-337-5531
Practice Address - Fax:925-292-7098
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50453122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist