Alan Roy Antao, PA-C, DMD | |
300 Tuskegee Blvd, Building 304, Dover Afb, DE 19902-5003 | |
(302) 677-2227 | |
Not Available |
Full Name | Alan Roy Antao |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 300 Tuskegee Blvd, Dover Afb, Delaware |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841592235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
122300000X | Dentist | DN21372 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Alan Roy Antao, PA-C, DMD 3136 Woodfield Dr, Kokomo, IN 46902-4788 Ph: (765) 513-5700 | Alan Roy Antao, PA-C, DMD 300 Tuskegee Blvd, Building 304, Dover Afb, DE 19902-5003 Ph: (302) 677-2227 |