Individual
DR. ARMANDO AGUILERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
DENTAC BLDG 2441 21ST STREET, FORT CAMPBELL, KY 42223-5369
(270) 798-8614
(270) 798-8633
Mailing address
DENTAC BLDG 2441 21ST STREET, FORT CAMPBELL, KY 42223-5369
(270) 798-8614
(270) 798-8633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN012656
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DNO12656
GA
Other
Enumeration date
04/04/2006
Last updated
09/15/2008
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