# RAYMOND AU & AUGUSTINE AU DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376754507
- **Authorized official:** DR. AUGUSTINE CHI-KUEN AU D.D.S. (PARTNER)
- **Authorized official phone:** (215) 923-1304

## Contact information

- **Practice address:** 121 N 10TH ST, PHILADELPHIA, PA 19107-2402
- **Practice address phone:** (215) 923-1304
- **Practice address fax:** (215) 923-5730
- **Mailing address:** 121 N 10TH ST, PHILADELPHIA, PA 19107-2402
- **Mailing address phone:** (215) 923-1304
- **Mailing address fax:** (215) 923-5730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS 021021 L | PA | Yes |

## Other

- **Enumeration date:** 05/28/2007
- **Last updated:** 08/22/2020
