Individual
DR. SHAILAJA THAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
250 TRAPELO RD, BELMONT, MA 02478-1849
(617) 489-1900
Mailing address
250 TRAPELO RD, BELMONT, MA 02478-1849
(617) 489-1900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21872
MA
Other
Enumeration date
09/27/2008
Last updated
09/27/2008
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