ANTHONY SOUTH

DAVENPORT, FL
NPI1629700992
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN28727)
Additional Taxonomies122300000X Dentist
(Licence: AZ  D011469)
Enumeration Date2022-06-27
Last Update Date2023-12-19
Business Address
ANTHONY SOUTH DMD
43522 HIGHWAY 27
DAVENPORT, FL 33837-6812
Phone number: 863-777-9890
Mailing Address
ANTHONY SOUTH DMD
240 W JUNIPER AVE UNIT 1135
GILBERT, AZ 85233-3973
Phone number: 952-607-5292
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