Organization
THAKKAR DENTAL PC
Active
Other names
Total Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICK THAKKAR DDS (DENTIST)
(917) 691-1775
Entity
Organization
Contact information
Practice address
100 AMESBURY ST STE 202, LAWRENCE, MA 01840-1321
(917) 691-1775
Mailing address
3600 MYSTIC VALLEY PKWY APT W501, MEDFORD, MA 02155-7605
(917) 691-1775
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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