Individual
DR. MARINHO DEL SANTO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
719 BARRON BLVD, GRAYSLAKE, IL 60030-3314
(224) 371-7477
Mailing address
PO BOX 1881, MILWAUKEE, WI 53201-1881
(414) 288-0788
(414) 288-0678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019034607
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.003410
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
20936875
WI
Other
Enumeration date
09/20/2021
Last updated
02/06/2025
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