Organization
BHAVANA THAKUR D.D.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVANA N THAKUR D.D.S. (OWNER DENTIST)
(408) 871-0877
Entity
Organization
Contact information
Practice address
281 E HAMILTON AVE, SUITE#3, CAMPBELL, CA 95008-0232
(408) 871-0877
(408) 871-2807
Mailing address
281 E . HAMILTON AVE, SUITE#3, CAMPBELL, CA 95008
(408) 871-0877
(408) 871-2807
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
CA 45033
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9324101
DENTICAL ,CA
CA
Enumeration date
02/13/2007
Last updated
08/22/2020
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