NPI | 1023734886 |
---|---|
Doing Business As | DR. GENE DESTEFANO, DDS |
Entity Type | Organization |
Authorized Contact | EMILY MAISCH Director Of Operations 845-430-9394 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-10-13 |
Last Update Date | 2022-10-13 |