Individual
DESSY SANTIKA ADONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AG-ACNP
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2571
(214) 563-0079
Mailing address
3126 IMPALA TRL, FRISCO, TX 75034-6219
(214) 563-0079
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1017156
TX
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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