Antonoff Dental, LLC

NPI #1417673310 in Kenosha, Wisconsin

Provider Information

NPI Number
1417673310
Entity Type
Organization
Organization Name
Antonoff Dental, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Oct 13, 2022
Last Updated
Oct 13, 2022

Practice Location

Address
6803 SHERIDAN RD
ZIP Code
53143-1321
Phone
(262) 484-4356

Authorized Official

Name
DR. KENNETH ANTONOFF
Title
DENTISTS
Phone
(414) 698-4324

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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