Individual
DR. TIMOTHY JOHN DESANTO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4400 EMILE ST, OMAHA, NE 68198-0600
(402) 559-6000
Mailing address
1920 FARNAM ST APT 233, OMAHA, NE 68102-1981
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7743
NE
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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