| Mark Antonis Dds, Llc | |
|
1333 Easton Ave Bethlehem PA 18018-2624 | |
| (610) 866-5391 | |
| (610) 866-5421 |
| Full Name | Mark Antonis Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1333 Easton Ave, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Mark Alexander Antonis (OWNER) |
| Authorized Official Contact | 6108665391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Antonis Dds, Llc 1333 Easton Ave Bethlehem PA 18018-2624 Ph: (610) 866-5391 | Mark Antonis Dds, Llc 1333 Easton Ave Bethlehem PA 18018-2624 Ph: (610) 866-5391 |
| NPI Number | 1316555048 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316555048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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