Individual
DR. AGDHA M. COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1379 E VINE ST, KISSIMMEE, FL 34744-3603
(407) 933-8686
(407) 933-2262
Mailing address
864 SPRING PARK LOOP, CELEBRATION, FL 34747-4831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000333500
—
FL
Enumeration date
03/24/2006
Last updated
01/09/2013
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