Provider Demographics
NPI:1699978072
Name:SANTIAGO ARAMBULO, EMILY ANN (DDS)
Entity type:Individual
Prefix:
First Name:EMILY ANN
Middle Name:
Last Name:SANTIAGO ARAMBULO
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 1:5363 BALBOA BLVD
Mailing Address - Street 2:STE 440
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-2842
Mailing Address - Country:US
Mailing Address - Phone:818-788-2155
Mailing Address - Fax:818-788-2156
Practice Address - Street 1:5363 BALBOA BLVD
Practice Address - Street 2:STE 440
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-2842
Practice Address - Country:US
Practice Address - Phone:818-788-2155
Practice Address - Fax:818-788-2156
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA450071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice