Individual
MR. VICK INDRAVADAN THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
162 HAVERHILL ST, METHUEN, MA 01844-3462
(978) 682-6200
Mailing address
162 HAVERHILL ST, METHUEN, MA 01844-3462
(978) 682-6200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856576
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2014
Last updated
06/23/2021
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