Individual
TRENT ICHIUJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4 CARE LN, SARATOGA SPRINGS, NY 12866-8624
(518) 583-4497
Mailing address
4 CARE LN, SARATOGA SPRINGS, NY 12866-8624
(518) 583-4497
(518) 583-3779
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
064669
NY
Other
Enumeration date
03/12/2018
Last updated
08/21/2025
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