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1518920727
COSMO VITO DESTENO
NEWARK, NJ
NPI
1518920727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: NJ 22d100881800)
Enumeration Date
2006-04-10
Last Update Date
2007-07-08
Business Address
Dr. COSMO VITO DESTENO DMD
110 BERGEN ST
NEWARK, NJ 07103-2495
Phone number: 973-972-4582
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Mailing Address
Dr. COSMO VITO DESTENO DMD
203 OCEAN AVE
SPRING LAKE, NJ 07762-1023
Phone number: 732-449-3518
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