Defazio, Jessica Frances
Defazio, Jessica Frances is an sole proprietor health care provider with primary practice located at 345 E 24Th St # 9W , New York NY 10010-4020. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Defazio, Jessica Frances can be contacted via phone (414) 491-4003.Contact Information
Primary practice address
345 E 24Th St # 9W
New York NY 10010-4020
Phone: (414) 491-4003
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 00000000000000000000 | New York |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 64173 | California |
Profile Details
| NPI number | 1770906992 |
|---|---|
| LBN Legal business name | Defazio, Jessica Frances |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2014 |
| Last updated | Sep 3rd, 2015 - about 11 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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