Healthcare Provider Details

I. General information

NPI: 1700344603
Provider Name (Legal Business Name): RITIKA LAHOTY RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2019
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CANAL ST UNIT 1113
BOSTON MA
02114-2066
US

IV. Provider business mailing address

1 CANAL ST UNIT 1113
BOSTON MA
02114-2066
US

V. Phone/Fax

Practice location:
  • Phone: 508-614-0940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN10001429
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: