Joseph S. Distefano, DMD

NPI #1093966616 in Bloomfield, New Jersey

Provider Information

NPI Number: 1093966616
Entity Type: Individual
Name: Joseph S. Distefano, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Oct 1, 2008
Last Updated: Oct 1, 2008

Practice Location

Address: 733 BLOOMFIELD AVE.
City: Bloomfield
State: New Jersey
ZIP Code: 07003
Phone: (973) 748-8450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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