Provider Demographics
NPI:1265645980
Name:SOTTOSANTI, KRIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:KRIS
Middle Name:
Last Name:SOTTOSANTI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26535 CARMEL RANCHO BLVD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-8749
Mailing Address - Country:US
Mailing Address - Phone:831-624-8548
Mailing Address - Fax:831-624-8565
Practice Address - Street 1:26535 CARMEL RANCHO BLVD
Practice Address - Street 2:SUITE #1
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-8749
Practice Address - Country:US
Practice Address - Phone:831-624-8548
Practice Address - Fax:831-624-8565
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43076122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist