Organization
RITA M. ANTOLIN DDS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA MARIANO ANTOLIN (DDS)
(818) 703-1299
Entity
Organization
Contact information
Practice address
21301A SATICOY STREET, CANOGA PARK, CA 91304
(818) 703-1299
Mailing address
21301A SATICOY STREET, CANOGA PARK, CA 91304
(818) 703-1299
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
49053
CA
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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