Individual
DR. DAVID DESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9600 BLACKWELL RD STE 103, ROCKVILLE, MD 20850-3670
(178) 404-3236
Mailing address
9600 BLACKWELL RD STE 103, ROCKVILLE, MD 20850-3670
(617) 840-4323
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
15705
MD
Other
Enumeration date
01/30/2015
Last updated
04/11/2023
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