Provider Demographics
NPI:1649455627
Name:AGGARWAL, CHARU (DDS)
Entity type:Individual
Prefix:DR
First Name:CHARU
Middle Name:
Last Name:AGGARWAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31886 CASTAIC RD
Mailing Address - Street 2:
Mailing Address - City:CASTAIC
Mailing Address - State:CA
Mailing Address - Zip Code:91384-3946
Mailing Address - Country:US
Mailing Address - Phone:661-257-2300
Mailing Address - Fax:
Practice Address - Street 1:31886 CASTAIC RD
Practice Address - Street 2:
Practice Address - City:CASTAIC
Practice Address - State:CA
Practice Address - Zip Code:91384-3946
Practice Address - Country:US
Practice Address - Phone:661-257-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA523371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice