Individual
DR. VINCENT EDWIN DIFABIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
198 THOMAS JOHNSON DR, SUITE 101, FREDERICK, MD 21702-4398
(301) 694-0870
(301) 694-7034
Mailing address
198 THOMAS JOHNSON DR, SUITE 101, FREDERICK, MD 21702-4398
(301) 694-0870
(301) 694-7034
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4981
MD
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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