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Individual

PRASHANT GAGNEJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BDS, MDS

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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