| Gregory A. Santarelli Dds Sc | |
|
5017 Green Bay Rd Ste 138 Kenosha WI 53144-1782 | |
| (262) 654-6770 | |
| (262) 654-6727 |
| Full Name | Gregory A. Santarelli Dds Sc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5017 Green Bay Rd Ste 138, Kenosha, Wisconsin |
| Authorized Official Name and Position | Patricia R Lee (OFFICE MANAGER) |
| Authorized Official Contact | 2626546770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory A. Santarelli Dds Sc 5017 Green Bay Rd Ste 138 Kenosha WI 53144-1782 Ph: (262) 654-6770 | Gregory A. Santarelli Dds Sc 5017 Green Bay Rd Ste 138 Kenosha WI 53144-1782 Ph: (262) 654-6770 |
| NPI Number | 1083891261 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 10/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083891261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5188015 (Wisconsin) | Primary |
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