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1467610519
BRIAN G DEPETRIS
CLIFTON, NJ
NPI
1467610519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ 22D101187300)
Enumeration Date
2008-05-27
Last Update Date
2008-05-27
Business Address
Dr. BRIAN G DEPETRIS DMD
1011 CLIFTON AVE SUITE 2-A
CLIFTON, NJ 07013-3518
Phone number: 973-365-2620
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Mailing Address
Dr. BRIAN G DEPETRIS DMD
1011 CLIFTON AVE SUITE 2-A
CLIFTON, NJ 07013-3518
Phone number: 973-365-2620
Copy
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