Daniel Distasi, D.D.S

NPI 1104910942 · on the registry since 2006

Practice

Address: 700 Broadway Ste 64
Westwood, NJ 07675
Phone: (201) 666-1300
Fax: (201) 666-2055
Organisation at this address: Compassionate Primary Care Llc
Broadway Dental Associates, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Periodontics
1223P0300X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey