Individual
DR. STEPHANIE ANN DEFILIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS036896L
WV
1223P0221X
Pediatric Dentistry
Primary
DS036896L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273152881
—
PA
Enumeration date
05/14/2007
Last updated
09/10/2018
Update your record
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