DANIEL E DISTASI

WESTWOOD, NJ
NPI1104910942
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: NJ  22DI01442602)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
Dr. DANIEL E DISTASI D.D.S.
700 BROADWAY STE 64
WESTWOOD, NJ 07675-1674
Phone number: 201-666-1300
Mailing Address
Dr. DANIEL E DISTASI D.D.S.
200 W 57TH ST STE 410
NEW YORK, NY 10019-3211
Phone number: