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Individual
DR. ERICA C. DEFABIO
Active
Individual
DR. ERICA C. DEFABIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22D102406500
NJ
1223G0001X
General Practice Dentistry
P64200
NY
1223P0700X
Prosthodontics
Primary
22DI02406500
NJ
Other
Enumeration date
07/07/2008
Last updated
07/18/2012
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