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Organization

ANTHONY O. PONZIO DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY ORLANDO PONZIO D.D.S. (PRESIDENT)
(708) 452-8100
Entity
Organization

Contact information

Practice address
7518 W NORTH AVE, ELMWOOD PARK, IL 60707-4140
(708) 452-8100
(708) 453-7988
Mailing address
7518 W NORTH AVE, ELMWOOD PARK, IL 60707-4140
(708) 452-8100
(708) 453-7988

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026290
IL

Other

Enumeration date
02/08/2007
Last updated
04/29/2014
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