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William S. Disantis, DD
Denturist in Yakima, Washington
NPI 1306902929

William S. Disantis is a Denturist based in Yakima, WA. William S. Disantis practices in Yakima, WA and has the professional credentials of DD. The NPI Number for William S. Disantis is 1306902929 and holds a License No. DN00000367 (Washington).

The current practice location address for William S. Disantis is 210 S 11Th Ave, Yakima, WA and can be reached out via phone at 509-454-2273 and via fax at 509-454-7901.

Location: 210 S 11Th Ave, Yakima, WA, 98902-3293
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306902929
Provider Name
William S. Disantis
Credential
DD
Provider Entity Type
Individual
Gender
Male
Address
210 S 11Th Ave, Yakima, WA, 98902-3293
Phone Number
509-454-2273
Fax Number
509-454-7901
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5048293 05 WA
DN00000367 01 WA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
210 S 11Th Ave
City
Yakima
State
Washington
Zip
98902-3293
Phone Number
509-454-2273
Fax Number
509-454-7901
person
Provider Business Mailing Address Details
Address
210 S 11Th Ave
City
Yakima
State
Washington
Zip
98902-3293
Phone Number
509-454-2273
Fax Number
509-454-7901
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DN00000367 (Washington)
Definition
Definition to come.
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