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1255495370
ANTHONY DESTEFANO
MORRISVILLE, NC
NPI
1255495370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NC 8692)
Additional Taxonomies
122300000X Dentist
(Licence: PA DS036173)
Enumeration Date
2006-12-21
Last Update Date
2011-01-11
Business Address
Dr. ANTHONY DESTEFANO DMD
6101 GRACE PARK DR
MORRISVILLE, NC 27560-6003
Phone number: 919-571-2484
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Mailing Address
Dr. ANTHONY DESTEFANO DMD
6101 GRACE PARK DR
MORRISVILLE, NC 27560-6003
Phone number: 919-571-2484
Copy
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