Organization
ANTHONY J. DESTEFANO, DMD, PA
Active
Other names
bite dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY JASON DESTEFANO D.M.D. (OWNER/DENTIST)
(919) 723-7461
Entity
Organization
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
1223G0001X
General Practice Dentistry
Primary
8692
NC
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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