SearchMassachusetts122300000X

Ine Santoso, D.D.S

NPI 1396956272 · on the registry since 2007 · sole proprietor

Practice

Address
133 Church St.
Northborough, MA 01532
Phone
(508) 393-2318

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts