Organization
REFINED DENTAL PC
Active
Other names
Shore Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST YAZIGI MD (OWNER/PRESIDENT)
(617) 767-7775
Entity
Organization
Contact information
Practice address
514 GARFIELD AVE, AVON BY THE SEA, NJ 07717-1157
(732) 775-1492
Mailing address
6B TRIUMPH CT, EAST RUTHERFORD, NJ 07073-1144
(732) 775-1492
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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