Joseph Distefano, Dmd, PC

NPI #1629220223 in Bloomfield, New Jersey

Provider Information

NPI Number: 1629220223
Entity Type: Organization
Organization Name: Joseph Distefano, Dmd, PC
Primary Specialty: Dentist
Enumeration Date: Oct 15, 2008
Last Updated: Oct 15, 2008

Practice Location

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

Authorized Official

Name: JOSEPH M. DISTEFANO, D.M.D.
Title: OWNER/PRESIDENT
Phone: (973) 748-8450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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