Individual
DAXA THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8730 CHERRY LN STE 6, LAUREL, MD 20707-6212
(301) 433-7958
Mailing address
8324 SWEET CHERRY LN, LAUREL, MD 20723-1060
(780) 655-0697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17759
MD
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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