Individual
MAYANK KAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, MHA
Contact information
Practice address
6268 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-3219
(440) 684-0900
Mailing address
6722 MILLER SHADOW LN, SUGAR LAND, TX 77479-3675
(832) 577-6869
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026931
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2022
Last updated
07/19/2022
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