Individual
DR. MICHAEL T AUGUSTA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7197 HIGHBRIDGE RD, FAYETTEVILLE, NY 13066-9784
(201) 748-9970
Mailing address
7197 HIGHBRIDGE RD, FAYETTEVILLE, NY 13066-9784
(201) 748-9970
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
064023
NY
Other
Enumeration date
04/19/2023
Last updated
08/15/2024
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