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Rafael Alberto Antillon SR., DDS
General Practice Dentistry in Lynwood, California
NPI 1760693329

Rafael Alberto Antillon SR. is a General Practice Dentistry based in Lynwood, CA and is specialized in General Practice. Rafael Alberto Antillon SR. practices in Lynwood, CA and has the professional credentials of DDS. The NPI Number for Rafael Alberto Antillon SR. is 1760693329 and holds a License No. 39747 (California).

The current practice location address for Rafael Alberto Antillon SR. is 3516 Martin Luther King Blvd, Lynwood, CA and can be reached out via phone at 310-639-7224 and via fax at 310-639-3939.

Location: 3516 Martin Luther King Blvd, Lynwood, CA, 90262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760693329
Provider Name
Rafael Alberto Antillon SR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3516 Martin Luther King Blvd, Lynwood, CA, 90262
Phone Number
310-639-7224
Fax Number
310-639-3939
Provider Enumeration Date
05/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3516 Martin Luther King Blvd
City
Lynwood
State
California
Zip
90262
Phone Number
310-639-7224
Fax Number
310-639-3939
person
Provider Business Mailing Address Details
Address
3516 Martin Luther King Blvd
City
Lynwood
State
California
Zip
90262
Phone Number
310-639-7224
Fax Number
310-639-3939
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
39747 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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