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Individual

DR. JUSTIN J AU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D., M.D.

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6355
(570) 271-5788
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS039419
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
059477
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DS039419
PA

Other

Enumeration date
07/14/2008
Last updated
08/17/2020
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