Individual
DR. DEBRA GRACE BAUSBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
840 KENWOOD AVE, SLINGERLANDS, NY 12159-9668
(518) 439-9939
Mailing address
840 KENWOOD AVE, P.O. BOX 189, SLINGERLANDS, NY 12159-9668
(518) 439-9939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045331-1
NY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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