Individual
DR. GITANJALI PURI THANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2020 SE 182ND AVE, PORTLAND, OR 97233-5692
(503) 988-4988
(503) 988-4879
Mailing address
619 NW 6TH AVE FL 5, PORTLAND, OR 97209-3964
(503) 988-7468
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7847
OR
Other
Enumeration date
12/29/2006
Last updated
12/06/2022
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