Individual
KANIKA VASWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
651 SQUIRE RD, REVERE, MA 02151-1866
(781) 289-3331
Mailing address
651 SQUIRE RD, REVERE, MA 02151-1866
(781) 289-3331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37164
TX
122300000X
Dentist
DN1857757
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN1857757
MASSACHUSETTS DENTAL BOARDS
MA
Enumeration date
09/27/2017
Last updated
04/28/2025
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