NPI | 1629763958 |
---|---|
Doing Business As | DESANTIS ORTHODONTICS AND PROSTHODONTICS |
Entity Type | Organization |
Authorized Contact | JOSEPH LOUIS DESANTIS Owner/Shareholder 718-702-7195 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2023-04-11 |
Last Update Date | 2023-04-11 |