Organization
DR. PRATIKSHA AGRAWAL DENTAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRATIKSHA AGRAWAL (ASSOCIATE DENTIST)
(312) 208-5566
Entity
Organization
Contact information
Practice address
2550 TELEGRAPH ROAD, SUITE 104, BLOOLFIELD HILLS, MI 48302
(248) 292-0188
Mailing address
1468 DEVON LANE, TROY, MI 48084
(312) 208-5566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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