| Anthony O. Ponzio Dds Pc | |
|
7518 W North Ave Elmwood Park IL 60707-4140 | |
| (708) 452-8100 | |
| (708) 453-7988 |
| Full Name | Anthony O. Ponzio Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7518 W North Ave, Elmwood Park, Illinois |
| Authorized Official Name and Position | Anthony Orlando Ponzio (PRESIDENT) |
| Authorized Official Contact | 7084528100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony O. Ponzio Dds Pc 7518 W North Ave Elmwood Park IL 60707-4140 Ph: (708) 452-8100 | Anthony O. Ponzio Dds Pc 7518 W North Ave Elmwood Park IL 60707-4140 Ph: (708) 452-8100 |
| NPI Number | 1780724641 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 04/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780724641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026290 (Illinois) | Primary |
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