Individual
DOREEN Y AGYEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1852 BLUFFTON RD, FORT WAYNE, IN 46809-1306
(260) 479-1086
Mailing address
1090 NORTHCHASE PKWY SE, SUITE 290, MARIETTA, GA 30067-6405
(678) 904-5665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011564A
IN
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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