Mauricio Antezana Valid NPI

Individual provider · Dentist · Atlantis, FL

NPI

1063876399

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

DN22246 (FL)

Sex

Male

Sole proprietor

Yes

Enumerated

2016-04-12

Last updated

2022-07-21