Individual
ANDREW JON CEFALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
25155 N 67TH AVE STE 142, PHOENIX, AZ 85083
(503) 338-6000
Mailing address
25155 N 67TH AVE STE 142, PHOENIX, AZ 85083-1065
(503) 338-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D10510
OR
1223G0001X
General Practice Dentistry
Primary
D10265
AZ
Other
Enumeration date
07/28/2016
Last updated
04/02/2019
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