Search › California › 122300000X
Pratiksha Agrawal, BDS, MSC
NPI 1568909943 · on the registry since 2017 · sole proprietor
Practice
- Address
- 704 Blossom Hill Rd Ste 100
San Jose, CA 95123 - Phone
- (408) 363-8700
- Organisation at this address
- Ned L. Nix, Dds, Inc
Shawn Taheri Dds, Ms Inc
M Elder Dental Group CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 105 W Madison St Fl 3, Chicago, IL
- 10012 Calumet Ave, Munster, IN
- 22541 Gratiot Ave, Eastpointe, MI
- 105 W Madison St Fl 3, Chicago, IL
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
122300000X
122300000X
122300000X
122300000X - Licence states on file
- MI, WA, VA, IN, IL, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California