Individual
ANIRUDHA AGNIHOTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1133 W POPLAR AVE, PORTERVILLE, CA 93257-5839
(877) 960-3426
Mailing address
305 E CENTER AVE, VISALIA, CA 93291-6331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS103078
CA
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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