Robert C Distefano, DMD

NPI #1437350972 in Farmingdale, New Jersey

Provider Information

NPI Number: 1437350972
Entity Type: Individual
Name: Robert C Distefano, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: May 31, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3 SOUTHARD AVENUE
City: Farmingdale
State: New Jersey
ZIP Code: 07727-1208
Phone: (732) 938-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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