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NPI Code Detail

MEDICARE: DR. SHEILA ANGELA AGULLANA D.D.S.

MEDICARE: DR. SHEILA ANGELA AGULLANA D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry0401413480VA
21223G0001XGeneral Practice DentistryDEN1001094DC
3122300000XDentist1002212-15WI

General Provider Information

NPI Number : 1508122821
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHEILA ANGELA AGULLANA D.D.S.
Provider Business Mailing Address
First Line : 228 S 18TH AVE
Second Line :
City : STURGEON BAY
State : WI
Zip : 54235-1000
Country : US
Telephone Number : 920-746-3788
Fax Number : 920-743-3340
Provider Business Practice Location Address
First Line : 228 S 18TH AVE
Second Line :
City : STURGEON BAY
State : WI
Zip : 54235-1000
Country : US
Telephone Number : 920-746-3788
Fax Number : 920-743-3340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2012
Last Update Date : 01/27/2022

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Directions to “ DR. SHEILA ANGELA AGULLANA D.D.S.” Practice Location

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