Provider Demographics
NPI:1952940561
Name:SANTONE AND DIETZ DENTISTRY PARTNERSHIP
Entity Type:Organization
Organization Name:SANTONE AND DIETZ DENTISTRY PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SANTONE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-753-0908
Mailing Address - Street 1:891 SANTA FE DR
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-3842
Mailing Address - Country:US
Mailing Address - Phone:760-753-0908
Mailing Address - Fax:760-753-1838
Practice Address - Street 1:891 SANTA FE DR
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-3842
Practice Address - Country:US
Practice Address - Phone:760-753-0908
Practice Address - Fax:760-753-1838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-30
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty