Individual
DR. JOHN DESTEFON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7110 SOUTHGATE BLVD, N. LAUDERDALE, FL 33068
(954) 724-8949
(954) 724-1185
Mailing address
7110 SOUTHGATE BLVD, N. LAUDERDALE, FL 33068
(954) 724-8949
(954) 724-1185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18561
FL
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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