Individual
PAYAL THAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3011 S LINDSAY RD, SUITE 104, GILBERT, AZ 85295-4332
(480) 219-6336
Mailing address
22 EILEEN WAY, EDISON, NJ 08837-2319
(602) 614-3192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D009072
AZ
122300000X
Dentist
Primary
D11242900
NJ
Other
Enumeration date
08/20/2014
Last updated
06/30/2024
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