Individual
DR. DONALD ANDREW DISANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1590 NORTH CENTER AVENUE, NORTHRIDGE BUILDING SUITE A, SOMERSET, PA 15501
(814) 444-8815
(814) 444-1606
Mailing address
69 UNITY SQUARE, GREENSBURG, PA 15601
(724) 331-5786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS030541L
PA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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