Henry J Antolak Dmd PC

NPI #1033305511 in Rolla, Missouri

Provider Information

NPI Number: 1033305511
Entity Type: Organization
Organization Name: Henry J Antolak Dmd PC
Primary Specialty: Dentist
Enumeration Date: Sep 19, 2007
Last Updated: Sep 19, 2007

Practice Location

Address: 1810 E 10TH ST
City: Rolla
State: Missouri
ZIP Code: 65401-4603
Phone: (573) 364-1821

Authorized Official

Name: CHRISTY BURKE
Title: OFFICE MANAGER
Phone: (573) 364-1821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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