Most Relevant Information
Provider Data
| NPI Number: | 1003433160 |
| Provider Name: | NICHA TOKAVANICH DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/06/2020 |
| Last Updated: | 05/27/2021 |
Provider Practice Location
188 LONGWOOD AVE
BOSTON
MA
021155819
Practice Location Phone/Fax
| Phone: | 6174321434 |
| Fax: |
Provider Mailing Location
400 BROOKLINE AVE APT 12B
BOSTON
MA
022155406
Provider Mailing Phone/Fax
| Phone: | 7343550086 |
| Fax: |