Individual
AGNIESZKA ANNA ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9991
(800) 817-3807
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(804) 506-0808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401418757
VA
1223G0001X
General Practice Dentistry
Primary
17544
MD
Other
Enumeration date
06/29/2022
Last updated
04/08/2024
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