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1932410297
RENJU ALEX THACKENKARY
FREDERICK, MD
NPI
1932410297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019028383)
Enumeration Date
2010-07-01
Last Update Date
2023-06-05
Business Address
Dr. RENJU ALEX THACKENKARY BDS,DDS
1700 KINGFISHER DR STE 11
FREDERICK, MD 21701-4770
Phone number: 301-501-5600
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Mailing Address
Dr. RENJU ALEX THACKENKARY BDS,DDS
1700 KINGFISHER DR STE 11
FREDERICK, MD 21701-4770
Phone number: 301-501-5600
Copy
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