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Organization
ANTHONY J. DESTEFANO, DMD, PA
Active
Organization
ANTHONY J. DESTEFANO, DMD, PA
Active
Other names
bite dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY JASON DESTEFANO D.M.D. (OWNER/DENTIST)
(919) 723-7461
Entity
Organization
Contact information
Practice address
6101 GRACE PARK DR, MORRISVILLE, NC 27560-6003
(919) 571-2484
(919) 571-2486
Mailing address
6101 GRACE PARK DR, MORRISVILLE, NC 27560-6003
(919) 571-2484
(919) 571-2486
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8692
NC
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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