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Individual

DR. EDWARD JOHN DISANTIS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
415 E OHIO ST, SUITE 275, PITTSBURGH, PA 15212-5586
(412) 231-1783
Mailing address
415 E OHIO ST, SUITE 275, PITTSBURGH, PA 15212-5586
(412) 231-1783

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS019748-L
PA

Other

Enumeration date
07/18/2006
Last updated
07/08/2007
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