Individual
DR. SUJAYA THOGARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18223 CARSON CT NW, ELK RIVER, MN 55330-2733
(763) 441-7030
Mailing address
9648 MERRIMAC LN N, MAPLE GROVE, MN 55311-2272
(972) 822-5509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15162
MN
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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