Organization
PRESIDENTIAL PEDIATRIC DENTISTRY AND ORTHODONTICS LLC
Active
Other names
Presidential Pediatric Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAURAV AGARWAL DDS, MSD (OWNER)
(804) 564-6485
Entity
Organization
Contact information
Practice address
350 EASTERN AVE NE, WASHINGTON, DC 20019-2833
(202) 248-6288
(202) 248-6330
Mailing address
350 EASTERN AVE NE, WASHINGTON, DC 20019-2833
(202) 248-6288
(202) 248-6330
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN1001643
DC
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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