| Organization Name: | DR. BENAIFER D. PREZIOSI, LLC |
| NPI Number: | 1093173569 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BENAIFER DON PREZIOSI (PRESIDENT) |
| Mailing Address: | 199 New Rd Suite 32 Linwood |
| State: | NJ US |
| Postal Code: | 082212025 |
| Phone Number: | 6099279090 |
| Fax Number: | 6099279091 |
| NPI Enumeration Date: | 01/29/2016 |
| NPI Last Update Date: | 01/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 22DI02353700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |