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Individual

AMITA AGARWAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
(617) 425-2002
Mailing address
1601 WASHINGTON STREET, BOSTON, MA 02118-1951
(617) 425-2000
(617) 425-2002

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DEN03313
RI
122300000X
Dentist
Primary
DN1857115
MA

Other

Enumeration date
02/26/2016
Last updated
07/18/2017
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