Individual
RENATO G. ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2817 WHEATON WAY, #206, BREMERTON, WA 98310-3440
(360) 627-7751
Mailing address
2817 WHEATON WAY, #206, BREMERTON, WA 98310-3440
(360) 627-7751
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000366
WA
Other
Enumeration date
05/18/2007
Last updated
05/22/2013
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