Search › California › 1223G0001X
Rafael Antillon, DDS
NPI 1760693329 · on the registry since 2007
Practice
- Address
- 3516 Martin Luther King Blvd
Suite 7
Lynwood, CA 90262 - Phone
- (310) 639-7224
- Fax
- (310) 639-3939
- Organisation at this address
- Greenvalley Oral Care
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