Alan Roy Antao, DMD

NPI #1841592235 in Bourbon, Indiana

Provider Information

NPI Number: 1841592235
Entity Type: Individual
Name: Alan Roy Antao, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 17, 2010
Last Updated: Sep 25, 2024

Practice Location

Address: 909 N WASHINGTON ST
City: Bourbon
State: Indiana
ZIP Code: 46504-1447
Phone: (574) 342-4385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Physician Assistant	363A00000X

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