Individual
JASON TESORIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
514 GARFIELD AVE, AVON BY THE SEA, NJ 07717-1157
(732) 775-1492
(732) 775-1498
Mailing address
514 GARFIELD AVE, AVON BY THE SEA, NJ 07717-1157
(732) 775-1492
(732) 775-1498
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02627000
NJ
Other
Enumeration date
03/23/2015
Last updated
02/14/2017
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