Provider Demographics
NPI:1992909410
Name:SANTI, JULIA (DDS)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:SANTI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11683 FOX RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-8423
Mailing Address - Country:US
Mailing Address - Phone:317-826-4347
Mailing Address - Fax:317-826-9790
Practice Address - Street 1:11683 FOX RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46236-8423
Practice Address - Country:US
Practice Address - Phone:317-826-4347
Practice Address - Fax:317-826-9790
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010969122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist