Individual
ANTHONY ORLANDO PONZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
7518 W NORTH AVE, ELMWOOD PARK, IL 60707-4140
(708) 452-8100
(708) 453-7988
Mailing address
7518 W NORTH AVE, ELMWOOD PARK, IL 60707-4140
(708) 452-8100
(708) 453-7988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026390
IL
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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