DR. Lisa Anne Antonelli, DMD

NPI #1093892390 in Worcester, Massachusetts

Provider Information

NPI Number: 1093892390
Entity Type: Individual
Name: DR. Lisa Anne Antonelli, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DMD
Enumeration Date: Nov 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 330 PLANTATION STREET
City: Worcester
State: Massachusetts
ZIP Code: 01604
Phone: (508) 753-1911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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