Rajesh Kumar Agarwal
Dentist in Kokomo, IN. Individual provider (NPI-1).
NPI number1780131334
StatusActive
Last updated in NPPESMar 8, 2019
Details
- NPI
- 1780131334
- Entity type
- Individual (NPI-1)
- Name
- Rajesh Kumar Agarwal
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2016
- Last updated
- Mar 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 12012805A | IN | Yes |
| 1223G0001X | Dentist, General Practice | DN1857393 | MA | |
| 1223G0001X | Dentist, General Practice | 019.031446 | IL |
Practice location
3118 S Lafountain StKokomo, IN 46902
Phone 765-864-4160
Mailing address
8003 Castleway DrIndianapolis, IN 46250-1946
Phone 317-576-1335 · Fax 844-397-1311
Other practice locations
3118 S Lafountain St
Kokomo, IN 46902
Kokomo, IN 46902
Phone 765-864-4160
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