RENJU ALEX THACKENKARY

FREDERICK, MD
NPI1932410297
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019028383)
Enumeration Date2010-07-01
Last Update Date2023-06-05
Business Address
Dr. RENJU ALEX THACKENKARY BDS,DDS
1700 KINGFISHER DR STE 11
FREDERICK, MD 21701-4770
Phone number: 301-501-5600
Mailing Address
Dr. RENJU ALEX THACKENKARY BDS,DDS
1700 KINGFISHER DR STE 11
FREDERICK, MD 21701-4770
Phone number: 301-501-5600