Individual
DR. DIPA SHARMA THAKKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3329 COBB PKWY NW STE 300, ACWORTH, GA 30101-8841
(678) 809-2999
Mailing address
4078 SWEAT CREEK CV, MARIETTA, GA 30062-1180
(517) 902-1797
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.028160
IL
1223G0001X
General Practice Dentistry
Primary
DN122224
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019.028160
—
IL
Enumeration date
11/27/2009
Last updated
08/14/2023
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