Individual
DR. GEORGE A ATHANSIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
184 RIDGE RD, CEDAR GROVE, NJ 07009-2000
(973) 303-1232
Mailing address
184 RIDGE RD, CEDAR GROVE, NJ 07009-2000
(973) 303-1232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02359200
NJ
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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