John William Antonetz, DDS Valid NPI

Individual provider · Public Health Dentistry · North Little Rock, AR

NPI

1255422622

Type

Individual (Type 1)

Primary specialty

Public Health Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223D0001X

License number

030938 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-09-28

Last updated

2007-07-08