Individual
NAMRATA AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 N STATE ST, CLARKS SUMMIT, PA 18411-1056
(570) 587-4031
Mailing address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044863
PA
Other
Enumeration date
07/03/2023
Last updated
09/14/2024
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