Individual
DR. JENAN AGNIHOTRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
186 E123RD ST., NEW YORK, NY 10035
(732) 986-4022
Mailing address
52 OAKLAND RD, OLD BRIDGE, NJ 08857-2785
(732) 986-4022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
053135-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02801792
—
NY
Enumeration date
12/02/2006
Last updated
07/08/2007
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