Individual
ANTONY DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1092 MADISON AVE, ALBANY, NY 12208-2248
(518) 525-1757
Mailing address
73 TROY RD 1D, EAST GREENBUSH, NY 12061-1334
(518) 451-9770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054426
NY
Other
Enumeration date
07/24/2009
Last updated
12/14/2015
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