Individual
DR. BRIANNE COURTNEY DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
106 N OLD KINGS RD, SUITE C, ORMOND BEACH, FL 32174-9505
(386) 672-4981
Mailing address
104 RIVER LN, ORMOND BEACH, FL 32176-3555
(386) 441-7719
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17127
FL
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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