Individual
PRASHANT GAGNEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, MDS
Contact information
Practice address
601 SE 117TH AVE STE 150, VANCOUVER, WA 98683-5298
(360) 450-2999
Mailing address
601 SE 117TH AVE STE 150, VANCOUVER, WA 98683-5298
(360) 450-2999
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00010029
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022774
—
OR
Enumeration date
10/26/2006
Last updated
09/25/2025
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