Manickas, Agisilaos Peter

Manickas, Agisilaos Peter is an individual health care provider with primary practice located at 803 Mass Ave , Lexington MA 02420-3918. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Manickas, Agisilaos Peter can be contacted via phone (781) 862-8220.

Contact Information

Primary practice address
803 Mass Ave Lexington MA 02420-3918
Phone: (781) 862-8220
Fax: (781) 862-3050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 8886 Massachusetts

Profile Details

NPI number 1134391675
LBN Legal business name Manickas, Agisilaos Peter
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2008
Last updated Mar 25th, 2008 - about 16 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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