Individual
DR. JOHN WILLIAM ANTONETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-1000
Mailing address
11127 GILA VALLEY DR, LITTLE ROCK, AR 72212-3505
(501) 225-9437
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
030938
NY
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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