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Individual
NATHAN THAMBY
Active
Individual
NATHAN THAMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.035360
IL
390200000X
Student in an Organized Health Care Education/Training Program
018.002259
IL
Other
Enumeration date
04/03/2023
Last updated
04/18/2025
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