Most Relevant Information
Provider Data
| NPI Number: | 1003299868 |
| Provider Name: | JOSEPH ANTHONY DIBARTOLO DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 31106 |
Most Important Dates
| Enumeration Date: | 06/29/2015 |
| Last Updated: | 07/19/2015 |
Provider Practice Location
3701 SHAVER ST
PASADENA
TX
775042601
Practice Location Phone/Fax
| Phone: | 7139468200 |
| Fax: |
Provider Mailing Location
502 CLEAR CREEK MDWS DR
LEAGUE CITY
TX
775739068
Provider Mailing Phone/Fax
| Phone: | 4095996135 |
| Fax: |