Gregory A. Santarelli Dds Sc

NPI 1083891261 - Dentist - 1223S0112X

NPI Details
NPI 1083891261
Enumeration Date 01/30/2008
Last Updated 10/05/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name PATRICIA R PATRICIA
Position OFFICE MANAGER
Phone (262) 654-6770
Fax (262) 654-6727
Practice Location
5017 GREEN BAY RD STE 138
KENOSHA WI, 53144-1782, US
Phone (262) 654-6770
Fax (262) 654-6727
Business Location
5017 GREEN BAY RD STE 138
KENOSHA WI, 53144-1782, US
Phone (262) 654-6770
Fax (262) 654-6727
Toxanomy
Taxonomy Code 1223S0112X
License State Wisconsin
License Number 5188015
Remove 1083891261 NPI Number
 

According to our database, Gregory A. Santarelli Dds Sc NPI is 1083891261, taxonomy code is 1223S0112X and license number is 5188015, license state is located at Wisconsin. Gregory A. Santarelli Dds Sc physically located at 5017 Green Bay Rd Ste 138, Kenosha WI, 53144-1782. NPI Number 1033115704 has the healthcare provider type.

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1083891261 NPI number is provided on an as is basis without warranty of any kind. 1083891261 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory A. Santarelli Dds Sc are for informational purposes only.