DR. Antonio Jose Casanova

NPI #1104201300 in Garden City, New York

Provider Information

NPI Number
1104201300
Entity Type
Individual
Name
DR. Antonio Jose Casanova
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 29, 2015
Last Updated
Jul 29, 2015

Practice Location

Address
901 STEWART AVE
Address 2
SUITE 200
ZIP Code
11530-4893
Phone
(516) 294-0202

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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