Individual
DR. ANTHONY R BEVACQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
257 MONMOUTH ROAD, SUITE 6, OAKHURST, NJ 07755
(732) 531-4165
(732) 531-2610
Mailing address
257 MONMOUTH ROAD, SUITE 6, OAKHURST, NJ 07755
(732) 531-4165
(732) 531-2610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10823
NJ
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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