| NPI | 1316555048 |
|---|---|
| Former Legal Business Name | MARK A ANTONIS DDS |
| Entity Type | Organization |
| Authorized Contact | MARK ALEXANDER ANTONIS Owner 610-866-5391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |