Individual
SHIKHA KANOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
058991-01
NY
1223P0221X
Pediatric Dentistry
Primary
DF11992
MA
Other
Enumeration date
10/12/2015
Last updated
09/12/2023
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