Individual
WILLIAM S. DISANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.
Contact information
Practice address
210 S 11TH AVE, SUITE #45, YAKIMA, WA 98902-3293
(509) 454-2273
(509) 454-7901
Mailing address
210 S 11TH AVE, SUITE #45, YAKIMA, WA 98902-3293
(509) 454-2273
(509) 454-7901
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000367
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5048293
—
WA
01
—
DN00000367
LICENSE NUMBER
WA
Enumeration date
12/28/2006
Last updated
07/09/2007
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