DR. Antoinette Mariel Severino, DDS
NPI #1740292572 in Brookfield, Illinois
Provider Information
- NPI Number
- 1740292572
- Entity Type
- Individual
- Name
- DR. Antoinette Mariel Severino, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 9435 OGDEN AVE
- City
- Brookfield
- State
- Illinois
- ZIP Code
- 60513-1849
- Phone
- (708) 485-0016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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