James Robert Agan DDS

NPI 1629279104 - Dentist - 1223G0001X

NPI Details
NPI 1629279104
Gender Male
Enumeration Date 05/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
200 GRANDVIEW DR
SALEM IN, 47167-1022, US
Phone (812) 883-1999
Fax (812) 883-7099
Business Location
200 GRANDVIEW DR
SALEM IN, 47167-1022, US
Phone (812) 883-1999
Fax (812) 883-7099
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12008361A
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According to our database, Dr. James Robert Agan DDS NPI is 1629279104, taxonomy code is 1223G0001X and license number is 12008361A, license state is located at Indiana. James Robert Agan DDS physically located at 200 Grandview Dr, Salem IN, 47167-1022. NPI Number James Robert Agan DDS has the Individual type.

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1629279104 NPI number is provided on an as is basis without warranty of any kind. 1629279104 is maintained by the National Plan & Provider Enumeration System. The contents of James Robert Agan DDS are for informational purposes only.