MEDICARE: AGGARWAL DENTAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center
2	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1326732157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGGARWAL DENTAL PLLC

Provider Business Mailing Address
First Line	:	1500 S AW GRIMES BLVD STE 130
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-7837
Country	:	US
Telephone Number	:	407-492-3555
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 S AW GRIMES BLVD STE 130
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-7837
Country	:	US
Telephone Number	:	737-239-0149
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	HERSHEAL AGGARWAL
Credential	:
Telephone Number	:	407-492-3555

Provider Enumeration Date	:	06/05/2023
Last Update Date	:	06/22/2023

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