Colon, Agdha M.

Colon, Agdha M. is an individual health care provider with primary practice located at 1379 E Vine St , Kissimmee FL 34744-3603. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Colon, Agdha M. can be contacted via phone (407) 933-8686.

Contact Information

Primary practice address
1379 E Vine St Kissimmee FL 34744-3603
Phone: (407) 933-8686
Fax: (407) 933-2262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN17219 Florida

Profile Details

NPI number 1487614533
LBN Legal business name Colon, Agdha M.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jan 9th, 2013 - about 13 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 1487614533 NPPES
Florida MEDICAID 000333500

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