Individual
DR. JOSEPH VICTOR DE STEPHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1193 BAY AVE, TOMS RIVER, NJ 08753-7881
(732) 270-8282
Mailing address
1193 BAY AVE, TOMS RIVER, NJ 08753-7881
(732) 270-8282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D100825300
NJ
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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