Avon Dental Group, LLC
NPI #1538397773 in Avon by the Sea, New Jersey
Provider Information
- NPI Number
- 1538397773
- Entity Type
- Organization
- Organization Name
- Avon Dental Group, LLC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jun 25, 2009
- Last Updated
- Jun 25, 2009
Practice Location
- Address
- 608 MAIN ST
- City
- Avon by the Sea
- State
- New Jersey
- ZIP Code
- 07717-1020
- Phone
- (732) 775-3531
Authorized Official
- Name
- DR. JOHN GEORGE RASSIAS, D.M.D.
- Title
- OWNER
- Phone
- (732) 259-3037
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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