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NPI Code Detail

MEDICARE: DR. SONAM AGARWAL DMD

MEDICARE:  DR. SONAM  AGARWAL  DMD
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
11223G0001XGeneral Practice Dentistry105727CA

General Provider Information

NPI Number : 1780283614
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SONAM AGARWAL DMD
Provider Business Mailing Address
First Line : 6280 STONERIDGE MALL RD APT B203
Second Line :
City : PLEASANTON
State : CA
Zip : 94588-3256
Country : US
Telephone Number : 862-803-4848
Fax Number :
Provider Business Practice Location Address
First Line : 6660 LONE TREE WAY STE 7
Second Line :
City : BRENTWOOD
State : CA
Zip : 94513-5310
Country : US
Telephone Number : 925-513-8363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2020
Last Update Date : 10/21/2020

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Directions to “ DR. SONAM AGARWAL DMD” Practice Location

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