Individual
ABHI DIPAKBHAI THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 PROSPERITY BLVD, CHOWCHILLA, CA 93610-8498
(559) 664-4000
(559) 675-5224
Mailing address
300 PROSPERITY BLVD, CHOWCHILLA, CA 93610-8498
(559) 664-4000
(559) 675-5224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105056
DENTIST
CA
Enumeration date
07/22/2020
Last updated
07/22/2020
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