Individual
DR. DONALD E ANTONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MED
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-1752
(954) 262-1782
Mailing address
4080 E LAKE ESTATES DR, DAVIE, FL 33328-3075
(954) 625-6818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5956
FL
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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