Individual
DR. CHRISTIAN SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
29 10 NORTH 5TH STREET, PHILA, PA 19133
(215) 225-2392
Mailing address
29 10 NORTH 5TH STREET, PHILA, PA 19133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01568818
—
NY
Enumeration date
05/25/2007
Last updated
07/09/2007
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