Nicha Tokavanich, DDS

NPI #1003433160 in Boston, Massachusetts

Provider Information

NPI Number: 1003433160
Entity Type: Individual
Name: Nicha Tokavanich, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 6, 2020
Last Updated: May 27, 2021

Practice Location

Address: 188 LONGWOOD AVE
City: Boston
State: Massachusetts
ZIP Code: 02115-5819
Phone: (617) 432-1434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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