Individual
ANDREA PAOLA CIURO SONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(315) 772-5576
Mailing address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(315) 772-5576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12914055-9921
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548838700
DOD ID
WA
01
—
1548838700
DOD ID
—
Enumeration date
07/27/2022
Last updated
08/23/2023
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