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Organization

DANIEL R SANTARELLI DDS. SC

Active
Parent organization
DANIEL R SANTARELLI DDS. SC
Other names
Santarelli Dental SC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DANIEL R SANTARELLI DDS. SC
Authorized official
DR. DANIEL R SANTARELLI DDS (PRESIDENT)
(262) 654-4340
Entity
Organization

Contact information

Practice address
624 75TH ST, KENOSHA, WI 53143-6025
(262) 654-4340
(262) 654-4530
Mailing address
624 75TH ST, KENOSHA, WI 53143-6025
(262) 654-4340
(262) 654-4530

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/16/2006
Last updated
03/02/2009
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