Individual
DR. ANTHONY DESTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
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
122300000X
Dentist
Primary
8692
NC
122300000X
Dentist
DS036173
PA
Other
Enumeration date
12/21/2006
Last updated
01/11/2011
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