THOMAS V DISTEFANO

BASKING RIDGE, NJ
NPI1538327200
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NJ  22DI01562000)
Enumeration Date2008-05-29
Last Update Date2020-08-25
Business Address
Dr. THOMAS V DISTEFANO DMD
25 MOUNTAINVIEW BLVD STE 205
BASKING RIDGE, NJ 07920-3453
Phone number: 908-604-0200
Mailing Address
Dr. THOMAS V DISTEFANO DMD
2333 MORRIS AVE SUITE D105
UNION, NJ 07083
Phone number: 908-686-5277
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