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Organization
RITA M. ANTOLIN
Active
Organization
RITA M. ANTOLIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RITA MARIANO ANTOLIN DDS (OWNER)
(818) 703-1299
Entity
Organization
Contact information
Practice address
21301 SATICOY ST, SUITE A, CANOGA PARK, CA 91304-5639
(818) 703-1299
Mailing address
21301 SATICOY ST, SUITE A, CANOGA PARK, CA 91304-5639
(818) 703-1299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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