Individual
DR. FRANK DOMENIC MARCANTONIO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
500 E VETERANS ST, DENTAL DEPT./160, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
1138 GRANDVIEW AVE., #1, TOMAH, WI 54660-3142
(608) 372-5287
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-021169-L
PA
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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