Provider Demographics
NPI:1720495724
Name:DOHI, ANTONIO TOSHIKAZU (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:TOSHIKAZU
Last Name:DOHI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4020 PINE RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-5024
Mailing Address - Country:US
Mailing Address - Phone:954-200-5379
Mailing Address - Fax:
Practice Address - Street 1:2010 E HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-8255
Practice Address - Country:US
Practice Address - Phone:813-238-7725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-22
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN22237122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist