| Joseph Louis Desantis Dds Pc | |
|
216 Rose Ave Staten Island NY 10306-2919 | |
| (718) 702-7195 | |
| (718) 980-9175 |
| Full Name | Joseph Louis Desantis Dds Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 216 Rose Ave, Staten Island, New York |
| Authorized Official Name and Position | Joseph Louis Desantis (OWNER/SHAREHOLDER) |
| Authorized Official Contact | 7187027195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Louis Desantis Dds Pc 216 Rose Ave Staten Island NY 10306-2919 Ph: (718) 702-7195 | Joseph Louis Desantis Dds Pc 216 Rose Ave Staten Island NY 10306-2919 Ph: (718) 702-7195 |
| NPI Number | 1629763958 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 04/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629763958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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