Eastern Periodontic Associates, LLC
NPI #1093876658 in Avenel, New Jersey
Provider Information
- NPI Number
- 1093876658
- Entity Type
- Organization
- Organization Name
- Eastern Periodontic Associates, LLC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1030 SAINT GEORGES AVE
- City
- Avenel
- State
- New Jersey
- ZIP Code
- 07001-1390
- Phone
- (732) 750-3600
Authorized Official
- Name
- DR. AARON PRESTUP, D.M.D
- Title
- DIRECTOR OF PERIODONTICS
- Phone
- (732) 750-3600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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