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Individual
ANIKA ISLAM
Active
Individual
ANIKA ISLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015166
GA
1223E0200X
Endodontics
11259
SC
1223E0200X
Endodontics
Primary
DN015166
GA
Other
Enumeration date
09/16/2016
Last updated
01/26/2026
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