Individual
TIMOTHY R AGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4370 KUKUI GROVE ST STE 212, LIHUE, HI 96766-2003
(808) 245-1818
(808) 246-0458
Mailing address
4370 KUKUI GROVE ST STE 212, LIHUE, HI 96766-2003
(808) 245-1818
(808) 246-0458
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3152
HI
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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