Individual
DR. EDWARD CHARLES DEFABIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
440 NJ-34, COLTS NECK, NJ 07722-1556
(732) 780-7790
(732) 780-4539
Mailing address
440 NJ-34, COLTS NECK, NJ 07722-1556
(732) 780-7790
(732) 780-4539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01125000
NJ
Other
Enumeration date
07/10/2006
Last updated
02/18/2022
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