Joseph Francis Antolak, DDS Valid NPI
Individual provider · General Practice Dentistry · Crystal Lake, IL
- NPI
- 1780757955
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-11-16
- Last updated
- 2007-07-08
Practice location
460 Coventry Lane, Suite 104
Crystal Lake, IL 60014
(815) 356-1200