Individual
DYLAN LOUIS AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3745 89TH ST BSMT, JACKSON HEIGHTS, NY 11372-7843
(347) 604-0563
Mailing address
3745 89TH ST BSMT, JACKSON HEIGHTS, NY 11372-7843
(347) 604-0563
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061418
NY
Other
Enumeration date
06/17/2019
Last updated
03/11/2025
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