Individual
REBECCA AGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 SE GREENVILLE BLVD, GREENVILLE, NC 27858-4811
(252) 375-8755
Mailing address
955 SPRING FOREST RD APT 1, GREENVILLE, NC 27834-4976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13243
NC
1223G0001X
General Practice Dentistry
Primary
30.027416
OH
Other
Enumeration date
10/24/2022
Last updated
02/29/2024
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