Individual
ANTHONY SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
43522 HIGHWAY 27, DAVENPORT, FL 33837-6812
(863) 777-9890
Mailing address
240 W JUNIPER AVE UNIT 1135, GILBERT, AZ 85233-3973
(952) 607-5292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D011469
AZ
122300000X
Dentist
Primary
DN28727
FL
Other
Enumeration date
06/27/2022
Last updated
12/19/2023
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