Individual
DR. DHIREN AGRAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
249 PALM BAY RD NE, MELBOURNE, FL 32904-8602
(617) 690-9919
Mailing address
3161 CONSERVATION PL APT 105, MELBOURNE, FL 32934-8747
(617) 690-9919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20288
FL
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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