Destefanis, Paul M

Destefanis, Paul M is an sole proprietor health care provider with primary practice located at 1050 Legion Dr , Elm Grove WI 53122-2230. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Destefanis, Paul M can be contacted via phone (262) 782-5400.

Contact Information

Primary practice address
1050 Legion Dr Elm Grove WI 53122-2230
Phone: (262) 782-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4675 Wisconsin

Profile Details

NPI number 1023161304
LBN Legal business name Destefanis, Paul M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 19 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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