Individual
DR. GERARDO F SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3212 COURT ST, PEKIN, IL 61554-6209
(309) 347-8590
Mailing address
446 E 7TH ST, ALTON, IL 62002-2436
(813) 500-2341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019034453
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
04/07/2023
Last updated
08/23/2023
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