Individual
NIDHI TANEJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
059687
NY
1223P0221X
Pediatric Dentistry
Primary
104339
CA
1223P0221X
Pediatric Dentistry
12163
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2014
Last updated
02/08/2021
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