Agamov, Alla

Agamov, Alla is an individual health care provider with primary practice located at 47 Pond St Unit 3 , Sharon MA 02067-2044. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Agamov, Alla can be contacted via phone (781) 784-8435.

Contact Information

Primary practice address
47 Pond St Unit 3 Sharon MA 02067-2044
Fax: (784) 784-6598
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 20247 Massachusetts
Dental Providers / General Practice 1223G0001X 20247 Massachusetts

Profile Details

NPI number 1427273267
LBN Legal business name Agamov, Alla
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated May 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427273267 NPPES
Massachusetts Other MA1084778C MSCR

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