Individual
TUSHAR KAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
690 MERRILL RD, PITTSFIELD, MA 01201-3714
(413) 499-1880
Mailing address
76 E HOUSATONIC ST APT C, PITTSFIELD, MA 01201-6471
(702) 883-2343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
14177
CT
122300000X
Dentist
16.0134268
VT
122300000X
Dentist
Primary
DN1859728
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/01/2023
Last updated
07/26/2024
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