Distasi, Daniel E

Distasi, Daniel E is an individual health care provider with primary practice located at 700 Broadway Ste 64 , Westwood NJ 07675-1674. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Distasi, Daniel E can be contacted via phone (201) 666-1300.

Contact Information

Primary practice address
700 Broadway Ste 64 Westwood NJ 07675-1674
Phone: (201) 666-1300
Fax: (201) 666-2055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 22DI01442602 New Jersey

Profile Details

NPI number 1104910942
LBN Legal business name Distasi, Daniel E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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