Individual
DR. JOSEPH H TYCHOSTUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11 1ST AVE, GLOVERSVILLE, NY 12078-3101
(518) 725-4415
(518) 725-8218
Mailing address
11 1ST AVE, GLOVERSVILLE, NY 12078-3101
(518) 725-4415
(518) 725-8218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
032303
NY
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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