Individual
DR. ROBERT D. ANTIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
906 MAIN ST, ALAMOSA, CO 81101-2444
(719) 589-2257
(719) 589-1141
Mailing address
906 MAIN ST, ALAMOSA, CO 81101-2444
(719) 589-2257
(719) 589-1141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
H-D-1-00913
CO
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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