Michelle Distefano, MICHELLEDISTEFANO
Michelle Distefano, MICHELLEDISTEFANO is a General Practice Dentistry in Bakersfield, California. Licensed in California and New Jersey. Registered with an NPI since 2008.
- Licensed in
- CA, NJ
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
10410 Titanium StBakersfield, CA 93311-9537
Phone: (661) 412-2143
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Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 59818 (CA) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 22DI02383000 (NJ) |
Record details
| NPI number | 1417113440 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MICHELLEDISTEFANO |
| Sole proprietor | No |
| NPI enumerated | July 30, 2008 |
| Last updated in NPPES | October 19, 2010 |
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