| Rita M. Antolin | |
|
21301 Saticoy St Suite A Canoga Park CA 91304-5639 | |
| (818) 703-1299 | |
| Not Available |
| Full Name | Rita M. Antolin |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21301 Saticoy St, Canoga Park, California |
| Authorized Official Name and Position | Rita Mariano Antolin (OWNER) |
| Authorized Official Contact | 8187031299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rita M. Antolin 21301 Saticoy St Suite A Canoga Park CA 91304-5639 Ph: (818) 703-1299 | Rita M. Antolin 21301 Saticoy St Suite A Canoga Park CA 91304-5639 Ph: (818) 703-1299 |
| NPI Number | 1093909731 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 09/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093909731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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