Individual
ABNER O DE LOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 FAIRPORT VILLAGE LNDG, FAIRPORT, NY 14450-1804
(585) 223-5480
(585) 228-9459
Mailing address
124 FAIRPORT VILLAGE LNDG, FAIRPORT, NY 14450-1804
(585) 223-5480
(585) 223-5480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060148
NY
Other
Enumeration date
05/31/2017
Last updated
05/11/2023
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