| Sunil D. Thanik, Dmd, Msd, Llc | |
|
12025 Sw 70th Ave Tigard OR 97223-9634 | |
| (503) 924-6505 | |
| Not Available |
| Full Name | Sunil D. Thanik, Dmd, Msd, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 12025 Sw 70th Ave, Tigard, Oregon |
| Authorized Official Name and Position | Jenny Garcia Rocha (SR CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunil D. Thanik, Dmd, Msd, Llc 12025 Sw 70th Ave Tigard OR 97223-9634 Ph: (503) 924-6505 | Sunil D. Thanik, Dmd, Msd, Llc 12025 Sw 70th Ave Tigard OR 97223-9634 Ph: (503) 924-6505 |
| NPI Number | 1972354447 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 04/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972354447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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