Individual
DIKSHA AGRAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1767 W OGDEN AVE STE 123, NAPERVILLE, IL 60540-3956
(630) 983-2600
Mailing address
633 S LAFLIN ST APT 8, CHICAGO, IL 60607-3113
(215) 609-9648
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033133
IL
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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