Individual
SULEKHA AGRAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9194 RED BRANCH RD, COLUMBIA, MD 21045-2005
(104) 730-0011
(410) 730-0199
Mailing address
11145 MARTHA WAY, FULTON, MD 20759-2214
(917) 319-3491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16386
MD
Other
Enumeration date
08/28/2015
Last updated
01/22/2020
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