Individual
MICHELLE SENTOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1775 STREET RD, SOUTHAMPTON, PA 18966-4564
(215) 364-4247
Mailing address
1775 STREET RD, SOUTHAMPTON, PA 18966-4564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS042713
PA
Other
Enumeration date
03/27/2020
Last updated
02/24/2022
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