Dr. Peter A. Defazio DMD
General Practice Dentistry in Long Branch, NJ(View on Map)
Full Name
Dr. Peter A Defazio DMD
NPI Number
1770614331
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/07/2007
Specialties
(Taxonomies)Licenses
State
New Jersey
License Number
17239
Contact
Information
Purpose
Mailing
Location
Address
279 3RD AVE
279 3RD AVE
City
Long Branch
Long Branch
State
NJ
NJ
Postal Code
07740-6205
07740-6205
Country
US
US
Telephone Number
(732) 222-1533
(732) 222-1533
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007
Provider Address
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