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Organization
ITI AGARWAL, DDS, P.A.
Active
Organization
ITI AGARWAL, DDS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ITI AGARWAL (PRESIDENT)
(301) 806-7719
Entity
Organization
Contact information
Practice address
5810 HIGHWAY 90, MILTON, FL 32583-1762
(301) 806-7719
Mailing address
2855 MAGNOLIA AVE, PENSACOLA, FL 32503-4875
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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