Jason Antonio, D.D.S

NPI 1245554153 · on the registry since 2010

Practice

Address: 11875 Pigeon Pass Rd
Moreno Valley, CA 92557
Phone: (951) 488-8868
Organisation at this address: The Law Rehab
Community Dental Of Dr. Chi
Diane Boval Dds A Professional Dental Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-03-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California