Individual
AUGUSTIN IANCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1710 ALTAMONT AVE, SCHENECTADY, NY 12303-2137
(518) 356-3300
(518) 356-8003
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 454-8650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
016.0059190
VT
1223G0001X
General Practice Dentistry
Primary
050691-1
NY
Other
Enumeration date
02/01/2007
Last updated
10/01/2009
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