| Ausable Dental Center | |
|
30 N Main St Au Sable Forks NY 12912 | |
| (518) 647-5150 | |
| (518) 647-4532 |
| Full Name | Ausable Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 30 N Main St, Au Sable Forks, New York |
| Authorized Official Name and Position | George K Sarandev (DENTIST/OWNER) |
| Authorized Official Contact | 5186475150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ausable Dental Center Po Box 775 Au Sable Forks NY 12912-0775 Ph: (518) 647-5150 | Ausable Dental Center 30 N Main St Au Sable Forks NY 12912 Ph: (518) 647-5150 |
| NPI Number | 1336671049 |
|---|---|
| Provider Enumeration Date | 03/31/2017 |
| Last Update Date | 03/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336671049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 054556-1 (New York) | Primary |
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