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Organization

AVON DENTAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN GEORGE RASSIAS D.M.D. (OWNER)
(732) 259-3037
Entity
Organization

Contact information

Practice address
608 MAIN ST, AVON BY THE SEA, NJ 07717-1020
(732) 775-3531
Mailing address
608 MAIN ST, AVON BY THE SEA, NJ 07717-1020
(732) 775-3531

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
22DIO2162500
NJ

Other

Enumeration date
06/25/2009
Last updated
06/25/2009
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