Louis Anthony Destefano D.D.S

NPI 1013906288 - Dentist - 1223G0001X

NPI Details
NPI 1013906288
Gender Male
Enumeration Date 10/19/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
3380 NOSTRAND AVE
APT. 1E
BROOKLYN NY, 11229-4056, US
Phone (718) 648-7159
Fax (718) 648-3605
Business Location
7 COVE LN
APT. 1A
BROOKLYN NY, 11234-5851, US
Phone (718) 251-1362
Fax (718) 648-3605
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 040978
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According to our database, Dr. Louis Anthony Destefano D.D.S NPI is 1013906288, taxonomy code is 1223G0001X and license number is 040978, license state is located at New York. Louis Anthony Destefano D.D.S physically located at 3380 Nostrand Ave, Brooklyn NY, 11229-4056. NPI Number Louis Anthony Destefano D.D.S has the Individual type.

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1013906288 NPI number is provided on an as is basis without warranty of any kind. 1013906288 is maintained by the National Plan & Provider Enumeration System. The contents of Louis Anthony Destefano D.D.S are for informational purposes only.