Mario Bradford Antonioni, D.D.S. Valid NPI

Individual provider · Student in an Organized Health Care Education/Training Program · Venice, CA

NPI

1255894762

Type

Individual (Type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program

Specialty group

Student, Health Care

Taxonomy code

390200000X

Sex

Male

Sole proprietor

No

Enumerated

2019-04-11

Last updated

2019-04-11