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1972581395
KEVIN JAMES DISTEFANO
WORTHINGTON, OH
NPI
1972581395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OH 30017328)
Enumeration Date
2006-01-05
Last Update Date
2009-11-10
Business Address
Dr. KEVIN JAMES DISTEFANO DDS
5868 N HIGH ST
WORTHINGTON, OH 43085-4183
Phone number: 614-885-8191
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Mailing Address
Dr. KEVIN JAMES DISTEFANO DDS
5868 N HIGH ST
WORTHINGTON, OH 43085-4183
Phone number: 614-885-8191
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