Provider Demographics
NPI:1437230349
Name:SANDULESCU, DRAGOS (DDS)
Entity Type:Individual
Prefix:
First Name:DRAGOS
Middle Name:
Last Name:SANDULESCU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 5TH AVE
Mailing Address - Street 2:#808
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10020
Mailing Address - Country:US
Mailing Address - Phone:212-245-5817
Mailing Address - Fax:212-664-1950
Practice Address - Street 1:608 5TH AVE
Practice Address - Street 2:#808
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10020
Practice Address - Country:US
Practice Address - Phone:212-245-5817
Practice Address - Fax:212-664-1950
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY39699122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist