Individual
DR. PAUL M DESTEFANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1050 LEGION DR, ELM GROVE, WI 53122-2230
(262) 782-5400
Mailing address
525 RIVERVIEW DR, THIENSVILLE, WI 53092-1745
(262) 782-5400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4675
WI
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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