NIDHI BAKUL KOTAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030105

License Status

NOT RENEWED

Business

Title

DDS

First Name

NIDHI

Middle

BAKUL

Last Name

KOTAK

Business Name

NIDHI BAKUL KOTAK DDS

Original Issue Date

01/26/2015

Effective Date

01/31/2022

Expiration Date

09/30/2024

City

PHILADELPHIA

State

Zip

19130

Ever Disciplined

LastModifiedDate

02/04/2025