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Individual

DR. FRANK J. DISTEFANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1016 DAVID DR, MORGAN CITY, LA 70380-1318
(985) 384-6907
(985) 384-6953
Mailing address
PO BOX 2425, 907 SECOND ST., MORGAN CITY, LA 70381-2425
(985) 384-4751

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
LA 2051
LA

Other

Enumeration date
02/06/2007
Last updated
07/08/2007
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