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Santiago Alfonso Surillo, DDSMS
Orthodontics and Dentofacial Orthopedic Dentist in La Mesa, California
NPI 1669521050

Santiago Alfonso Surillo is a Orthodontics and Dentofacial Orthopedic Dentist based in La Mesa, CA and is specialized in Orthodontics and Dentofacial Orthopedics. Santiago Alfonso Surillo practices in La Mesa, CA and has the professional credentials of DDSMS. The NPI Number for Santiago Alfonso Surillo is 1669521050 and holds a License No. 41045 (California).

The current practice location address for Santiago Alfonso Surillo is 4700 Spring Street, La Mesa, CA and can be reached out via phone at 619-461-6166 and via fax at 619-461-2508.

Location: 4700 Spring Street, La Mesa, CA, 91941
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669521050
Provider Name
Santiago Alfonso Surillo
Credential
DDSMS
Provider Entity Type
Individual
Gender
Male
Address
4700 Spring Street, La Mesa, CA, 91941
Phone Number
619-461-6166
Fax Number
619-461-2508
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4700 Spring Street
City
La Mesa
State
California
Zip
91941
Phone Number
619-461-6166
Fax Number
619-461-2508
person
Provider Business Mailing Address Details
Address
4700 Spring Street
City
La Mesa
State
California
Zip
91941
Phone Number
619-461-6166
Fax Number
619-461-2508
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
41045 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
41045 (California)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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