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Individual

DR. MICHAEL AGENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MDS

Contact information

Practice address
1120 WESTERN AVE, CHILLICOTHE, OH 45601-1174
(740) 773-0072
Mailing address
1120 WESTERN AVE, CHILLICOTHE, OH 45601-1174
(740) 773-0072

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30022713
OH

Other

Enumeration date
04/21/2009
Last updated
04/21/2009
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