Individual
JOSEPH FRANCIS ANTOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
460 COVENTRY LANE, SUITE 104, CRYSTAL LAKE, IL 60014
(815) 356-1200
Mailing address
460 COVENTRY LANE, SUITE 104, CRYSTAL LAKE, IL 60014
(815) 356-1200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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