Organization
AGNETTA ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN JAMES AGNETTA DDS, MS (OWNER/MANAGER)
(208) 761-1210
Entity
Organization
Contact information
Practice address
6311 KINGSTON PIKE STE 26W, KNOXVILLE, TN 37919-4900
(208) 761-1210
Mailing address
1205 IVES ST, WATERTOWN, NY 13601-4216
(208) 761-1210
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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