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Organization
EASTERN PERIODONTIC ASSOCIATES, LLC
Active
Organization
EASTERN PERIODONTIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON PRESTUP D.M.D (DIRECTOR OF PERIODONTICS)
(732) 750-3600
Entity
Organization
Contact information
Practice address
1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390
(732) 750-3600
(732) 750-3696
Mailing address
1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
09460
NJ
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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