DR. Paul M Destefanis, D.D.S.

NPI #1023161304 in Elm Grove, Wisconsin

Provider Information

NPI Number
1023161304
Entity Type
Individual
Name
DR. Paul M Destefanis, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jan 19, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1050 LEGION DR
ZIP Code
53122-2230
Phone
(262) 782-5400

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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