# ANTHONY A SANTORSOLA, DDS

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

## Provider details

- **NPI number:** 1508169798
- **Authorized official:** KATHLEEN JACKSON (OFFICE MANAGER)
- **Authorized official phone:** (206) 525-2813

## Contact information

- **Practice address:** 5723 NE BOTHELL WAY, SUITE A, KENMORE, WA 98028-9404
- **Practice address phone:** (206) 525-2813
- **Practice address fax:** (425) 483-1414
- **Mailing address:** 5723 NE BOTHELL WAY, SUITE A, KENMORE, WA 98028-9404
- **Mailing address phone:** (206) 525-2813
- **Mailing address fax:** (425) 483-1414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 602301797 | WA | Yes |

## Other

- **Enumeration date:** 12/10/2010
- **Last updated:** 12/10/2010