Individual
JONAS AVIZA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
410 S MAIN ST, CONCORD, NH 03301-3483
(603) 226-2995
Mailing address
410 S MAIN ST, CONCORD, NH 03301-3483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1865
NH
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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