Search › California › 1223G0001X
Genesis Antonio, D.D.S
NPI 1326113291 · on the registry since 2006 · sole proprietor
Practice
- Address
- 650 Empire St
Suite B
Fairfield, CA 94533 - Phone
- (707) 428-7171
- Fax
- (707) 428-7179
- Organisation at this address
- Davita Nephrology Medical Associates Of Ca, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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