Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Palak Bothra

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255228755

Palak Bothra is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2025.

Licensed in
MA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

635 Albany St
Boston, MA 02118-3550
Phone: (952) 855-2188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DL100422 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence DL100422 (MA)

Record details

NPI number1255228755
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 18, 2025
Last updated in NPPESJune 18, 2025
Certification dateJune 12, 2025
Mailing address1410 Columbia Rd Apt 1g, South Boston, MA 02127-4014

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