Organization
IN STYLE SMILE DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE AGAMOV DMD (PRESIDENT)
(508) 998-1178
Entity
Organization
Contact information
Practice address
1249 ASHLEY BLVD, SUITE 1, NEW BEDFORD, MA 02745-1536
(508) 998-1178
(508) 995-1775
Mailing address
1249 ASHLEY BLVD, SUITE 1, NEW BEDFORD, MA 02745-1536
(508) 998-1178
(508) 995-1775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20247
MA
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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