Individual
DR. FANNY KAMWA AGNERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD,MPH
Contact information
Practice address
5342 E US HIGHWAY 83 STE 3, RIO GRANDE CITY, TX 78582-9433
(956) 317-1365
Mailing address
5342 E US HIGHWAY 83 STE 3, RIO GRANDE CITY, TX 78582-9433
(956) 317-1365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02487800
NJ
1223P0221X
Pediatric Dentistry
Primary
27861
TX
Other
Enumeration date
06/30/2011
Last updated
03/05/2022
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