Provider Demographics
NPI:1689682056
Name:DESANTIS, MIHAELA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MIHAELA
Middle Name:
Last Name:DESANTIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MIHAELA
Other - Middle Name:
Other - Last Name:NEAGU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:93 UNION ST STE 408
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2241
Mailing Address - Country:US
Mailing Address - Phone:617-244-4997
Mailing Address - Fax:
Practice Address - Street 1:93 UNION ST STE 408
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-2241
Practice Address - Country:US
Practice Address - Phone:617-244-4997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA203981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice