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RAFAEL ALBERTO ANTILLON SR. DDS
NPI 1760693329
Dentist - General Practice in Lynwood, CA

Active since May 25, 2007
3516 MARTIN LUTHER KING BLVD, SUITE 7, LYNWOOD, CA 90262(310) 639-7224(310) 639-3939 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rafael Alberto Antillon Sr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAFAEL ALBERTO ANTILLON SR. DDS (NPI 1760693329) is an individual general practice provider in Lynwood, California, licensed in California (39747) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1760693329
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRAFAEL ALBERTO ANTILLON SR.Credential: DDS
Location Address3516 MARTIN LUTHER KING BLVD, SUITE 7Lynwood, CA 90262
Mailing Address3516 Martin Luther King Blvd, Suite 7Lynwood, CA 90262 · (310) 639-7224 · Fax (310) 639-3939
Phone(310) 639-7224
Fax(310) 639-3939
Sole ProprietorNo
Enumeration DateMay 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760693329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 39747
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3516 MARTIN LUTHER KING BLVD, Lynwood, CA 90262
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Antillon's NPI number?

The NPI number for Rafael Antillon is 1760693329. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Rafael Antillon located?

Rafael Antillon practices at 3516 Martin Luther King Blvd Suite 7, Lynwood, CA 90262. The listed phone number is (310) 639-7224.

What is Rafael Antillon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Rafael Antillon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.