Individual
DR. IAN NICOLAS PRINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(925) 270-8935
Mailing address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
103807
CA
1223E0200X
Endodontics
Primary
103807
CA
Other
Enumeration date
07/31/2019
Last updated
07/18/2023
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