Provider Demographics
NPI:1609215219
Name:SIKKA, VIKAS
Entity Type:Individual
Prefix:
First Name:VIKAS
Middle Name:
Last Name:SIKKA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 W FOOTHILL BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-3890
Mailing Address - Country:US
Mailing Address - Phone:909-946-9090
Mailing Address - Fax:
Practice Address - Street 1:121 W FOOTHILL BLVD STE E
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3890
Practice Address - Country:US
Practice Address - Phone:909-946-9090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106066122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist