Organization · NPI-2

Anthony J. Destefano, Dmd, PA

Dentist, General Practice · Morrisville, NC

NPI number1821351784
StatusActive
Last updated in NPPESJun 15, 2012

Details

NPI
1821351784
Entity type
Organization (NPI-2)
Legal business name
Anthony J. Destefano, Dmd, PA
Organization subpart
No
Enumeration date
Jun 15, 2012
Last updated
Jun 15, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice8692NCYes

Other names

  • Bite Dental (Doing Business As)

Practice location

6101 Grace Park Dr
Morrisville, NC 27560-6003

Phone 919-571-2484 · Fax 919-571-2486

Mailing address

6101 Grace Park Dr
Morrisville, NC 27560-6003

Phone 919-571-2484 · Fax 919-571-2486

Authorized official

Anthony Jason Destefano
Owner/Dentist
9197237461

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