Raymond Aguon

NPI #1043660632 in Fort Campbell, Kentucky

Provider Information

NPI Number: 1043660632
Entity Type: Individual
Name: Raymond Aguon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Assistant
Enumeration Date: Jun 15, 2016
Last Updated: Jun 15, 2016

Practice Location

Address: BLDG 2441 21ST STREET
Address 2: US ARMY DENTAL ACTIVITY
City: Fort Campbell
State: Kentucky
ZIP Code: 42223
Phone: (270) 798-8977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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