Organization
ANTHONY A SANTORSOLA, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN JACKSON (OFFICE MANAGER)
(206) 525-2813
Entity
Organization
Contact information
Practice address
5723 NE BOTHELL WAY, SUITE A, KENMORE, WA 98028-9404
(206) 525-2813
(425) 483-1414
Mailing address
5723 NE BOTHELL WAY, SUITE A, KENMORE, WA 98028-9404
(206) 525-2813
(425) 483-1414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
602301797
WA
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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