DR. John E. Antonio JR., D.M.D

NPI #1407190119 in Cub, New Mexico

Provider Information

NPI Number: 1407190119
Entity Type: Individual
Name: DR. John E. Antonio JR., D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Nov 19, 2012
Last Updated: Nov 19, 2012

Practice Location

Address: 6349 U.S. HIGHWAY 550
City: Cub
State: New Mexico
ZIP Code: 87013
Phone: (575) 289-3291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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