Individual
KRISHNA P KANSAGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
64979
CA
122300000X
Dentist
DS042127
PA
1223P0221X
Pediatric Dentistry
Primary
64979
CA
Other
Enumeration date
09/28/2015
Last updated
09/15/2020
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