Individual provider · Type 1 NPI
Rafael Alberto Antillon Sr., DDS
General Practice Dentistry · Lynwood, CA
NPI number
1760693329
Active
Practice location
3516 Martin Luther King Blvd, Suite 7
Lynwood, CA 90262
Fax (310) 639-3939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 39747 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1760693329
Rafael Alberto Antillon Sr., DDS's National Provider Identifier is 1760693329, issued on May 25, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lynwood, CA. The record was last updated on Jul 8, 2007.