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Individual
DR. ANTHONY JOHN DEFILIPPO
Active
Individual
DR. ANTHONY JOHN DEFILIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13206
CT
390200000X
Student in an Organized Health Care Education/Training Program
000000000
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508971557
NPI
CT
Enumeration date
03/24/2020
Last updated
09/02/2021
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