Sunil D. Thanik, Dmd, Msd, LLC

NPI #1972354447 in Tigard, Oregon

Provider Information

NPI Number: 1972354447
Entity Type: Organization
Organization Name: Sunil D. Thanik, Dmd, Msd, LLC
Primary Specialty: Dentist - Periodontics
Enumeration Date: Apr 1, 2024
Last Updated: Apr 1, 2024

Practice Location

Address: 12025 SW 70TH AVE
City: Tigard
State: Oregon
ZIP Code: 97223-9634
Phone: (503) 924-6505

Authorized Official

Name: JENNY GARCIA ROCHA
Title: SR CREDENTIALING TEAM LEAD
Phone: (972) 869-3789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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