Tanya L Desanto, DDS
NPI #1801517743 in Springfield, Illinois
Provider Information
- NPI Number
- 1801517743
- Entity Type
- Organization
- Organization Name
- Tanya L Desanto, DDS
- Primary Specialty
- Dentist
- Enumeration Date
- Sep 8, 2022
- Last Updated
- Oct 4, 2022
Practice Location
- Address
- 2900 GREENBRIAR DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-6418
- Phone
- (217) 546-0412
Authorized Official
- Name
- MRS. ROBIN HAYES
- Title
- OFFICE MANAGER
- Phone
- (217) 546-0412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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