Provider Demographics
NPI:1144769407
Name:ADHVIKA LAKSHMI PLLC
Entity Type:Organization
Organization Name:ADHVIKA LAKSHMI PLLC
Other - Org Name:TOWNESQUARE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRINDHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NATARAJAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-821-3563
Mailing Address - Street 1:4 EASTLEIGH LN
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-4275
Mailing Address - Country:US
Mailing Address - Phone:978-821-3563
Mailing Address - Fax:
Practice Address - Street 1:12 PARMENTER RD
Practice Address - Street 2:B-2
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3280
Practice Address - Country:US
Practice Address - Phone:978-821-3563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04287122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty