Organization
AUSABLE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE K SARANDEV D.D.S. (DENTIST/OWNER)
(518) 647-5150
Entity
Organization
Contact information
Practice address
30 N MAIN ST, AU SABLE FORKS, NY 12912
(518) 647-5150
(518) 647-4532
Mailing address
PO BOX 775, AU SABLE FORKS, NY 12912-0775
(518) 647-5150
(518) 647-4532
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054556-1
NY
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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