HENRY JOSEPH ANTOLAK

ROLLA, MO
NPI1538246913
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MO  13190)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
Dr. HENRY JOSEPH ANTOLAK D.M.D.
1201 FORUM DR
ROLLA, MO 65401-2587
Phone number: 573-364-1821
Mailing Address
Dr. HENRY JOSEPH ANTOLAK D.M.D.
12303 HUMMINGBIRD PL
ROLLA, MO 65401-7406
Phone number: 573-364-0705