Individual
PAYAL THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
315 CENTRE ST, JAMAICA PLAIN, MA 02130-1414
(617) 524-5400
Mailing address
211 E OHIO ST APT 1802, CHICAGO, IL 60611-7208
(973) 652-6993
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859497
MA
Other
Enumeration date
07/05/2022
Last updated
07/15/2022
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