Lia Datikashvili, DDS
NPI 1780977926 · on the registry since 2011 · sole proprietor
Practice
- Address
- 293 E 149th St
Bronx, NY 10451 - Phone
- (646) 404-5005
- Organisation at this address
- Octo-Dental Pc
Glad Dental P.C.
United Medicine & Rehabilitation, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- Dentist
- Licence states on file
- NY, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York