General & Implant Dentistry of San Antonio, PA
NPI #1184151599 in San Antonio, Florida
Provider Information
- NPI Number
- 1184151599
- Entity Type
- Organization
- Organization Name
- General & Implant Dentistry of San Antonio, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 16, 2017
- Last Updated
- May 16, 2017
Practice Location
- Address
- 32347 SR 52 STE B
- City
- San Antonio
- State
- Florida
- ZIP Code
- 33576-8147
- Phone
- (352) 668-4819
Authorized Official
- Name
- DR. LOUIS P CERILLO, DDS
- Title
- PRESIDENT/DENTIST
- Phone
- (352) 668-4819
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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