| Doctor Name: | LOLITA GUEVARRA SANTOS |
| NPI Number: | 1053679258 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DENTURIST |
| License Number: | DN 60270518 |
| Business Practice Address: | 9735 S 222nd St Kent, WA - 980312410 |
| Business Phone Number: | 2066610520 |
| Business Fax Number: | |
| Mailing Address: | 9735 S 222nd St, KENT |
| State: | WA |
| Postal Code: | 980312410 |
| Phone Number: | 2066610520 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2012 |
| NPI Last Update Date: | 04/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | DN 60270518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |