SCOTT EDWARD DISTEFANO

LONGVIEW, TX
NPI1861593014
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: TX  20261)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
DR. SCOTT EDWARD DISTEFANO D.D.S.
1201 PINE TREE RD
LONGVIEW, TX 75604-3154
Phone number: 903-759-4607
Mailing Address
DR. SCOTT EDWARD DISTEFANO D.D.S.
1201 PINE TREE RD
LONGVIEW, TX 75604-3154
Phone number: 903-759-4607
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