DR. Jason Clay Antonio, D.D.S.

NPI #1245554153 in Moreno Valley, California

Provider Information

NPI Number
1245554153
Entity Type
Individual
Name
DR. Jason Clay Antonio, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Mar 22, 2010
Last Updated
Mar 22, 2010

Practice Location

Address
11875 PIGEON PASS RD
ZIP Code
92557-6039
Phone
(951) 488-8868

Specialties & Taxonomy Codes

Specialty
Dentist

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