NPI 1003433160

Nicha Tokavanich, DDS

Practitioner Dentist Boston, MA

Practice location

Address: 188 Longwood Ave, Boston, MA 02115-5819
Phone: (617) 432-1434
Mailing address: 400 Brookline Ave APT 12b, Boston, MA 02215-5406

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DL14770 (MA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003433160
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jul 2020
Record last updated: 27 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.