Individual
ROBERT C DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3 SOUTHARD AVENUE, FARMINGDALE, NJ 07727-1208
(732) 938-2800
(732) 938-3822
Mailing address
3 SOUTHARD AVENUE, FARMINGDALE, NJ 07727-1208
(732) 938-2800
(732) 938-3822
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D116236
NJ
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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