Search › Arizona › 122300000X
Tyler Antonelli, DDS
NPI 1073133393 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4175 S Alamo Ave
Davis-Monthan Afb, AZ 85707 - Phone
- (910) 619-6720
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-20
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 Arizona