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Dr. Daniel E Distasi, DDS
Periodontist in Westwood, New Jersey
NPI 1104910942

Daniel E Distasi is a Periodontist based in New York, NJ and is specialized in Periodontics. Daniel E Distasi practices in Westwood, NJ and has the professional credentials of DDS. The NPI Number for Daniel E Distasi is 1104910942 and holds a License No. 22DI01442602 (New Jersey).

The current practice location address for Daniel E Distasi is 700 Broadway Ste 64, Westwood, NJ and can be reached out via phone at 201-666-1300 and via fax at 201-666-2055.

Location: 700 Broadway Ste 64, Westwood, NJ, 10019-3211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104910942
Provider Name
Daniel E Distasi
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
700 Broadway Ste 64, Westwood, NJ, 10019-3211
Phone Number
201-666-1300
Fax Number
201-666-2055
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
700 Broadway Ste 64
City
Westwood
State
New Jersey
Zip
07675-1674
Phone Number
201-666-1300
Fax Number
201-666-2055
person
Provider Business Mailing Address Details
Address
700 Broadway Ste 64
City
Westwood
State
New Jersey
Zip
07675-1674
Phone Number
201-666-1300
Fax Number
201-666-2055
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
22DI01442602 (New Jersey)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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