Individual
DR. LILLELENNY SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MSC, CAGS
Contact information
Practice address
1327 SNUG HARBOR DR, CASSELBERRY, FL 32707-6719
(617) 610-9024
Mailing address
1327 SNUG HARBOR DR, CASSELBERRY, FL 32707-6719
(617) 610-9024
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN1856023
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN23206
FL
Other
Enumeration date
06/15/2012
Last updated
02/05/2019
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