Individual
KARTIKI AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2937 IL-178, NORTH UTICA, IL 61373
(815) 993-3101
Mailing address
23806 SPRINGS CT APT 103, PLAINFIELD, IL 60585-2262
(551) 216-9133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.33370
IL
Other
Enumeration date
08/30/2021
Last updated
09/05/2021
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