DR. Kelly Marie Distefano, DMD

NPI #1710440508 in Worthington, Ohio

Provider Information

NPI Number: 1710440508
Entity Type: Individual
Name: DR. Kelly Marie Distefano, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Apr 9, 2019
Last Updated: Dec 15, 2021

Practice Location

Address: 69 E WILSON BRIDGE RD
City: Worthington
State: Ohio
ZIP Code: 43085-2301
Phone: (614) 431-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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