Individual
PRIYATA AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
713 US HIGHWAY 41 STE A, SCHERERVILLE, IN 46375
(219) 293-8039
Mailing address
1300 W 90TH PL APT 305, MERRILLVILLE, IN 46410-6751
(601) 383-0972
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012997A
IN
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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