Individual
RAJESH KUMAR AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3118 S LAFOUNTAIN ST, KOKOMO, IN 46902
(765) 864-4160
Mailing address
8003 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1946
(317) 576-1335
(844) 397-1311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012805A
IN
1223G0001X
General Practice Dentistry
019.031446
IL
1223G0001X
General Practice Dentistry
DN1857393
MA
Other
Enumeration date
09/01/2016
Last updated
03/08/2019
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