# CHRISTIAN SANTANA D D S P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164723474
- **Authorized official:** DR. CHRISTIAN F SANTANA DDS (DENTIST PRESIDENT)
- **Authorized official phone:** (570) 497-4081

## Contact information

- **Practice address:** 21 E BROAD ST STE C, HAZLETON, PA 18201-6511
- **Practice address phone:** (570) 497-4081
- **Practice address fax:** (570) 497-4082
- **Mailing address:** 21 E BROAD ST STE C, HAZLETON, PA 18201-6511
- **Mailing address phone:** (570) 497-4081
- **Mailing address fax:** (570) 497-4082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2010
- **Last updated:** 10/30/2023