| NPI | 1922164557 |
|---|---|
| Former Legal Business Name | DISANTIS PROSTHETICS |
| Entity Type | Organization |
| Authorized Contact | WILLIAM S. DISANTIS Owner 509-454-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122400000X Denturist (Licence: WA DN00000367) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |