Dr. Nick A Desantis
Dr. Nick A Desantis is a General Practice Dentistry in Gallup, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.
- Licensed in
- NM
- In the registry since
- 2007
Practice location Address checks out
1801 Redrock DrGallup, NM 87301-5655
Phone: (505) 863-4457
Fax: (505) 722-4310
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 1345 (NM) |
|---|
Record details
| NPI number | 1679606834 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 14, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1801 Redrock Dr, Gallup, NM 87301-5655 |
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