Individual
MR. JOSEPH H ANTONINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
421 WEST MEDCALF ST, DALE, IN 47523
(812) 937-2591
(812) 937-7159
Mailing address
PO BOX 276, DALE, IN 47523
(812) 937-2591
(812) 937-7159
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6471
IN
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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