Individual
ANNEMARIE JEAN DESANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5001 SERGEANT RD STE 15, SIOUX CITY, IA 51106-4777
(712) 239-0400
Mailing address
83221 553 AVE, MADISON, NE 68748-6558
(402) 992-4322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D1317
SD
122300000X
Dentist
Primary
DDS-09953
IA
1223G0001X
General Practice Dentistry
26115
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2021
Last updated
04/29/2025
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