SearchFlorida1223G0001X

John Destefon, DMD

NPI 1992947212 · on the registry since 2009

Practice

Address
7110 Southgate Blvd
N. Lauderdale, FL 33068
Phone
(954) 724-8949
Fax
(954) 724-1185

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-04-01

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 Florida