Agam Dental, Llc | |
305 State St Springfield MA 01105-1320 | |
(417) 379-7924 | |
Not Available |
Full Name | Agam Dental, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 305 State St, Springfield, Massachusetts |
Authorized Official Name and Position | Satinder Jawandha (OWNER) |
Authorized Official Contact | 4173797924 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Agam Dental, Llc 305 State St Springfield MA 01105-1320 Ph: (417) 379-7924 | Agam Dental, Llc 305 State St Springfield MA 01105-1320 Ph: (417) 379-7924 |
NPI Number | 1306395199 |
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Provider Enumeration Date | 09/22/2016 |
Last Update Date | 09/22/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306395199 | NPI | - | NPPES |
1013238468 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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