Organization
MARK ANTONIS DDS, LLC
Active
Other names
Mark A Antonis DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALEXANDER ANTONIS DDS (OWNER)
(610) 866-5391
Entity
Organization
Contact information
Practice address
1333 EASTON AVE, BETHLEHEM, PA 18018-2624
(610) 866-5391
(610) 866-5421
Mailing address
1333 EASTON AVE, BETHLEHEM, PA 18018-2624
(610) 866-5391
(610) 866-5421
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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