Individual
LAKSHMI P THALANKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
182 ELM ST NORTH/DAVIS SQ, N. CAMBRIDGE, MA 02140-1302
(617) 625-1714
Mailing address
182 ELM ST NORTH/DAVIS SQ, N. CAMBRIDGE, MA 02140-1302
(617) 625-1714
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19674
MA
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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