DR. Peter A Defazio, DMD
NPI #1770614331 in Long Branch, New Jersey
Provider Information
- NPI Number
- 1770614331
- Entity Type
- Individual
- Name
- DR. Peter A Defazio, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Mar 7, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 279 3RD AVE
- Address 2
- SUITE 303
- City
- Long Branch
- State
- New Jersey
- ZIP Code
- 07740-6205
- Phone
- (732) 222-1533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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