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Individual

DR. DEEPAK AGARWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1163 E OGDEN AVE STE 403, NAPERVILLE, IL 60563-8532
(630) 416-0780
(630) 416-6938
Mailing address
1163 E OGDEN AVE STE 403, NAPERVILLE, IL 60563-8532
(630) 416-0780
(630) 416-6938

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-025771
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201725665-60563-01
IL
Enumeration date
10/13/2005
Last updated
12/10/2020
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