Ine R. Santoso, D.D.S.

NPI #1396956272 in Northborough, Massachusetts

Provider Information

NPI Number: 1396956272
Entity Type: Individual
Name: Ine R. Santoso, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 133 CHURCH ST.
City: Northborough
State: Massachusetts
ZIP Code: 01532-0507
Phone: (508) 393-2318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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