Individual
PRIYADARSHINI AGRAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1890 WAITE ST STE 1, NORTH BEND, OR 97459-1229
(541) 756-6232
Mailing address
1668 LANGPORT DR, SUNNYVALE, CA 94087-4677
(650) 669-4462
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D00150
CA
122300000X
Dentist
Primary
D11822
OR
Other
Enumeration date
05/23/2016
Last updated
08/08/2023
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