GARY ROBERT DISTEFANO

HOWELL, MI
NPI1972602803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MI  D011030)
Enumeration Date2006-09-21
Last Update Date2007-07-09
Business Address
-- GARY ROBERT DISTEFANO d.d.s.
112 W GRAND RIVER AVE
HOWELL, MI 48843-2268
Phone number: 517-546-8983
Mailing Address
-- GARY ROBERT DISTEFANO d.d.s.
112 W GRAND RIVER AVE
HOWELL, MI 48843-2268
Phone number: 517-546-8983
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