Individual provider · Type 1 NPI
Daniel E. Distasi, DDS
Periodontics · Westwood, NJ
NPI number
1104910942
Active
Practice location
700 Broadway Ste 64
Westwood, NJ 07675-1674
Fax (201) 666-2055
Mailing address
200 W 57th St Ste 410
New York, NY 10019-3211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 22DI01442602 (NJ) |
Periodontics: 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.
4 other providers at this address
Other periodontics providers in Westwood
About NPI 1104910942
Daniel E. Distasi, DDS's National Provider Identifier is 1104910942, issued on Oct 3, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Westwood, NJ. The record was last updated on Jul 8, 2007.