Individual
AMOGH THALANKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4234 BRONX BLVD FL 2, BRONX, NY 10466-2668
(888) 700-6623
Mailing address
2149 QUIMBY AVE, BRONX, NY 10473-1332
(781) 708-3333
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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