| NPI | 1063661163 |
|---|---|
| Professional Name | BRIANNE C. DESANTIS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN0004071) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |