DR. DANIEL DISTASI, D.D.S.
Dentist - Periodontics
Active
Individual
NPI: 1104910942
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | 22DI01442602 (NJ) |
Frequently Asked Questions
NPI 1104910942 is the National Provider Identifier for DR. DANIEL DISTASI, D.D.S., a Dentist - Periodontics provider located in Westwood, NJ. This NPI was enumerated on October 3, 2006.
DR. DANIEL DISTASI, D.D.S. practices at 700 BROADWAY STE 64, Westwood, NJ 07675.
Quick Facts
- NPI
- 1104910942
- Type
- Individual
- Enumerated
- Oct 3, 2006
- Last Updated
- Jul 8, 2007
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