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Individual
DR. RADHIKA THAKKAR
Active
Individual
DR. RADHIKA THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MPH
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063976
NY
1223G0001X
General Practice Dentistry
063976
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063976
NY DENTIST LICENSE
NY
Enumeration date
05/30/2023
Last updated
07/24/2024
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