DR. Mario Bradford Antonioni, D.D.S.
NPI #1255894762 in Venice, California
Provider Information
- NPI Number
- 1255894762
- Entity Type
- Individual
- Name
- DR. Mario Bradford Antonioni, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- D.D.S.
- Enumeration Date
- Apr 11, 2019
- Last Updated
- Apr 11, 2019
Practice Location
- Address
- 323 LINCOLN BLVD
- City
- Venice
- State
- California
- ZIP Code
- 90291-2842
- Phone
- (310) 392-4103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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