Individual
AUGUSTINE C AU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
121 NORTH TENTH STREET, PHILADELPHIA, PA 19107
(215) 923-1304
(215) 923-5730
Mailing address
121 NORTH TENTH STREET, PHILADELPHIA, PA 19107
(215) 923-1304
(215) 923-5730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 021021 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0530526
—
PA
Enumeration date
05/02/2007
Last updated
07/09/2007
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