Individual
DR. NICHOLAS ANTHONY AVIANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
301 BELLEVILLE AVE, BLOOMFIELD, NJ 07003-3647
(551) 227-2551
Mailing address
56 RODNEY PL, DEMAREST, NJ 07627-1625
(201) 655-4122
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02859400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2019
Last updated
01/17/2023
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