Organization
SD DENTAL AUSTRIACO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME B AUSTRIACO DDS (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
3307 7TH AVE SE, SUITE 108, ABERDEEN, SD 57401-6613
(315) 454-6000
(315) 410-5531
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1065
SD
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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