DR. Michael T Augusta JR., DDS

NPI #1427745561 in Fayetteville, New York

Provider Information

NPI Number: 1427745561
Entity Type: Individual
Name: DR. Michael T Augusta JR., DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 19, 2023
Last Updated: Aug 15, 2024

Practice Location

Address: 7197 HIGHBRIDGE RD
City: Fayetteville
State: New York
ZIP Code: 13066-9784
Phone: (201) 748-9970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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