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Organization

JACK AUGHENBAUGH DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACK A AUGHENBAUGH D.D.S. (OWNER)
(570) 682-8143
Entity
Organization

Contact information

Practice address
1144 EAST MAIN STREET, HEGINS, PA 17938
(570) 682-8143
(570) 682-8630
Mailing address
PO BOX 369, HEGINS, PA 17938
(570) 682-8143
(570) 682-8630

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
DS022224-L
PA

Other

Enumeration date
05/03/2007
Last updated
08/22/2020
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