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Organization

AGAM DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SATINDER JAWANDHA D.M.D (OWNER)
(417) 379-7924
Entity
Organization

Contact information

Practice address
305 STATE ST, SPRINGFIELD, MA 01105-1320
(417) 379-7924
Mailing address
305 STATE ST, SPRINGFIELD, MA 01105-1320
(417) 379-7924

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013238468
CT
Enumeration date
09/22/2016
Last updated
09/22/2016
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