PETER A DEFAZIO

LONG BRANCH, NJ
NPI1770614331
Other NameTRACEY DEFAZIO
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NJ  17239)
Enumeration Date2007-03-07
Last Update Date2007-07-08
Business Address
Dr. PETER A DEFAZIO DMD
279 3RD AVE SUITE 303
LONG BRANCH, NJ 07740-6205
Phone number: 732-222-1533
Mailing Address
Dr. PETER A DEFAZIO DMD
279 3RD AVE SUITE 303
LONG BRANCH, NJ 07740-6205
Phone number: 732-222-1533
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