Individual
KALPESHKUMAR THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S./ ORTHODONTIST
Contact information
Practice address
625 W CROSSVILLE RD, STE 120, ROSWELL, GA 30075-7503
(732) 763-3572
Mailing address
625 W CROSSVILLE RD, STE 120, ROSWELL, GA 30075-7503
(732) 763-3572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
014522
GA
122300000X
Dentist
DS037823
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
28568
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN014522
GA
Other
Enumeration date
07/08/2009
Last updated
03/17/2018
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