Individual
INDIRA TIKHONOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 N MAIN ST, TRAVELERS REST, SC 29690-1527
(864) 610-6188
Mailing address
309 N MAIN ST, TRAVELERS REST, SC 29690-1527
(864) 610-6188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
04865
NH
Other
Enumeration date
06/01/2023
Last updated
10/15/2024
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