Individual
DR. KEVIN JAMES DISTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5868 N HIGH ST, WORTHINGTON, OH 43085-4183
(614) 885-8191
Mailing address
5868 N HIGH ST, WORTHINGTON, OH 43085-4183
(614) 885-8191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30017328
OH
Other
Enumeration date
01/05/2006
Last updated
11/10/2009
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