Individual
DR. SUNIL DEV THANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MSD
Contact information
Practice address
12025 SW 70TH AVE, TIGARD, OR 97223-9634
(503) 924-6505
(503) 924-6507
Mailing address
12025 SW 70TH AVE, TIGARD, OR 97223-9634
(503) 924-6505
(503) 924-6507
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D7848
OR
Other
Enumeration date
01/19/2006
Last updated
03/26/2024
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