Individual
DR. JOSEPH THAYIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2700 NE 14TH STREET CSWY, SUITE 105, POMPANO BEACH, FL 33062-3561
(954) 941-2412
Mailing address
17716 MAISONS DR, CLINTON TWP, MI 48038-3801
(954) 655-6368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18501
FL
Other
Enumeration date
08/17/2009
Last updated
08/09/2022
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