Individual
PREETANJALI THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
2550 UNIVERSITY AVENUE WEST SUITE 189S, ST PAUL, MN 55114
(651) 332-7474
(651) 332-7475
Mailing address
2550 UNIVERSITY AVENUE WEST SUITE 189S, ST PAUL, MN 55114
(651) 332-7474
(651) 332-7475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
R607
MN
1223X2210X
Orofacial Pain Dentistry
Primary
S127
MN
Other
Enumeration date
08/19/2014
Last updated
07/11/2024
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