| NPI | 1043888936 |
|---|---|
| Doing Business As | ELEAZAR VIRAY SANTIAGO GEN PTR |
| Other Name | ELEAZAR VIRAY SANTIAGO GEN PTR |
| Entity Type | Organization |
| Authorized Contact | ELEAZAR SANTIAGO Doctor 702-610-8734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2023-06-06 |