Individual
GREGORY A. SANTARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS SC
Contact information
Practice address
5017 GREEN BAY RD, SUITE 138, KENOSHA, WI 53144-1782
(262) 654-6770
(262) 654-6727
Mailing address
5017 GREEN BAY RD, SUITE 138, KENOSHA, WI 53144-1782
(262) 654-6770
(262) 654-6727
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5188015
WI
Other
Enumeration date
11/01/2006
Last updated
07/10/2008
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