| 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 |