Individual provider · Type 1 NPI

Genesis Profeta Antonio, DDS

General Practice Dentistry · Fairfield, CA

NPI number 1326113291 Active

About NPI 1326113291

Genesis Profeta Antonio, DDS's National Provider Identifier is 1326113291, issued on Nov 22, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fairfield, CA. The record was last updated on Jul 8, 2007.