Individual
DR. PANKAJ THAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
211 MOUNT AUBURN AVE, AUBURN, ME 04210-8521
(207) 514-7171
(207) 514-7177
Mailing address
211 MOUNT AUBURN AVE, AUBURN, ME 04210-8521
(207) 514-7171
(207) 514-7177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS037336
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN4299
ME
Other
Enumeration date
09/06/2008
Last updated
03/20/2014
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