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Individual

LINDSAY DESANTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
140 SHAWNEE ST, GREENVILLE, OH 45331-2529
(765) 967-2266
Mailing address
7797 MORGAN CREEK RD, WILLIAMSBURG, IN 47393-9794

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12012364A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
30.025217
OH

Other

Enumeration date
07/19/2015
Last updated
09/21/2021
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