DR. Eugene Joseph Destefano, D.D.S.

NPI #1780690958 in Kingston, New York

Provider Information

NPI Number
1780690958
Entity Type
Individual
Name
DR. Eugene Joseph Destefano, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jul 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
283 HURLEY AVE
ZIP Code
12401-2421
Phone
(845) 331-7089

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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