| Agn Dental Practices, Pc | |
|
178 Highway 35 Eatontown NJ 07724-1883 | |
| (732) 475-7535 | |
| Not Available |
| Full Name | Agn Dental Practices, Pc |
|---|---|
| Speciality | Dentist |
| Location | 178 Highway 35, Eatontown, New Jersey |
| Authorized Official Name and Position | Admasu N Gizachew (PRESIDENT/OWNER) |
| Authorized Official Contact | 3474551108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agn Dental Practices, Pc 16 Riverside Ln Holmdel NJ 07733-2084 Ph: () - | Agn Dental Practices, Pc 178 Highway 35 Eatontown NJ 07724-1883 Ph: (732) 475-7535 |
| NPI Number | 1558831438 |
|---|---|
| Provider Enumeration Date | 12/04/2018 |
| Last Update Date | 12/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558831438 | NPI | - | NPPES |
| 0440833 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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