COSMO VITO DESTENO

NEWARK, NJ
NPI1518920727
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: NJ  22d100881800)
Enumeration Date2006-04-10
Last Update Date2007-07-08
Business Address
Dr. COSMO VITO DESTENO DMD
110 BERGEN ST
NEWARK, NJ 07103-2495
Phone number: 973-972-4582
Mailing Address
Dr. COSMO VITO DESTENO DMD
203 OCEAN AVE
SPRING LAKE, NJ 07762-1023
Phone number: 732-449-3518