Individual
AUFAUGH EMAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 E 170TH ST, BRONX, NY 10452-7021
(347) 282-0311
Mailing address
124 E 170TH ST, BRONX, NY 10452-7021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
056853
NY
1223G0001X
General Practice Dentistry
Primary
DN015773
GA
Other
Enumeration date
08/09/2012
Last updated
01/07/2019
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