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Individual

DIKSHA THAPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9840 HAGGERTY RD, VAN BUREN TOWNSHIP, MI 48111-3443
(734) 687-4400
Mailing address
1833 MAPLE PARK DR E, CANTON, MI 48188-4827
(248) 459-8130

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600880
MI
1223G0001X
General Practice Dentistry
Primary
2901600880
MI

Other

Enumeration date
04/16/2021
Last updated
04/25/2026
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