Individual
DR. MANSUKHLAL JIVANDAS THAKRAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
124 FAIRPORT VILLAGE LNDG, FAIRPORT, NY 14450-1804
(585) 223-5480
Mailing address
124 FAIRPORT VILLAGE LNDG, FAIRPORT, NY 14450-1804
(585) 223-5480
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
036974
NY
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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