Individual
DR. MICHELE AGUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
451 SUNCREST TOWN CENTRE DR, MORGANTOWN, WV 26505-1814
(304) 293-5642
Mailing address
1233 PINEVIEW DR APT 22, MORGANTOWN, WV 26505-2786
(304) 413-5700
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
IP1701
WV
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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