John Antonelli, DDS

NPI #1316096977 in Fort Lauderdale Davie, Florida

Provider Information

NPI Number: 1316096977
Entity Type: Individual
Name: John Antonelli, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3200 S UNIVERSITY DRIVE
Address 2: NOVA SOUTHEASTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE
City: Fort Lauderdale Davie
State: Florida
ZIP Code: 33328-2018
Phone: (954) 262-7348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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