Individual
SARAH SOHYUN BONG-THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1005 W 120TH AVE STE 800, WESTMINSTER, CO 80234-2747
(720) 263-5420
Mailing address
1005 W 120TH AVE STE 800, WESTMINSTER, CO 80234-2747
(720) 263-5420
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
00203802
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401411892
VA
Other
Enumeration date
04/12/2007
Last updated
01/06/2023
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