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Individual
THOMAS JOHN SABUDA
Active
Individual
THOMAS JOHN SABUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
A0288401
NY
1223G0001X
General Practice Dentistry
DS019205L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00628542
—
NY
Enumeration date
09/09/2005
Last updated
12/14/2012
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