Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Santiago Alfonso Surillo, DDSMS

Individual provider Pediatric Dentistry · NPI 1669521050

Santiago Alfonso Surillo, DDSMS is a Pediatric Dentistry in LA Mesa, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

4700 Spring St Ste 104
LA Mesa, CA 91941
Phone: (619) 461-6166
Fax: (619) 461-2508
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 41045 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 41045 (CA)

Record details

NPI number1669521050
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMS
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESOctober 21, 2014

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