Provider Demographics
NPI:1386465672
Name:AGNES BOLUS-ALIGNAY DDS PA
Entity type:Organization
Organization Name:AGNES BOLUS-ALIGNAY DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:F
Authorized Official - Last Name:BOLUS-ALIGNAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-608-9363
Mailing Address - Street 1:804 PERSHING DR STE 3
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4436
Mailing Address - Country:US
Mailing Address - Phone:301-608-9363
Mailing Address - Fax:301-608-9390
Practice Address - Street 1:804 PERSHING DR STE 3
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4436
Practice Address - Country:US
Practice Address - Phone:301-608-9363
Practice Address - Fax:301-608-9390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental