Individual
CHAITALI MADHUSUDAN THAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
767 5TH AVE STE B3-A, CHAMBERSBURG, PA 17201-4207
(717) 709-7940
Mailing address
301 CHESTNUT ST APT 2410, HARRISBURG, PA 17101-2760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041451
PA
Other
Enumeration date
08/02/2017
Last updated
03/08/2022
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