DR. Antonio Andrew Alfonso JR., D.M.D.

NPI #1346655677 in San Fernando, California

Provider Information

NPI Number: 1346655677
Entity Type: Individual
Name: DR. Antonio Andrew Alfonso JR., D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jun 25, 2014
Last Updated: Apr 21, 2020

Practice Location

Address: 732 MOTT ST # 100-110
City: San Fernando
State: California
ZIP Code: 91340-4237
Phone: (818) 963-5690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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