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1013523703
EVAN JAMES AGNETTA
KNOXVILLE, TN
NPI
1013523703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TN 0000011286)
Enumeration Date
2020-09-18
Last Update Date
2020-09-18
Business Address
EVAN JAMES AGNETTA DDS, MS
6311 KINGSTON PIKE STE 26W
KNOXVILLE, TN 37919-4900
Phone number: 208-761-1210
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Mailing Address
EVAN JAMES AGNETTA DDS, MS
1205 IVES ST
WATERTOWN, NY 13601-4216
Phone number: 208-761-1210
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