Individual
DR. NEIL AGNIHOTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
130 TOWNE CENTER WEST BOULEVARD, HENRICO, VA 23233-7100
(804) 270-5028
(804) 747-3599
Mailing address
11545A NUCKOLS ROAD, GLEN ALLEN, VA 23059-5666
(804) 673-8061
(804) 673-5644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02234700
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401412743
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
0101247300
VA
Other
Enumeration date
03/03/2008
Last updated
10/10/2024
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