NICK A DESANTIS

GALLUP, NM
NPI1679606834
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  1345)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
Dr. NICK A DESANTIS
1801 REDROCK DR
GALLUP, NM 87301-5655
Phone number: 505-863-4457
Mailing Address
Dr. NICK A DESANTIS
1801 REDROCK DR
GALLUP, NM 87301-5655
Phone number: 505-863-4457
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