Most Relevant Information
Provider Data
| NPI Number: | 1003045675 |
| Provider Name: | SEJAL THACKER DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0300X |
| Specialty: | Dentist |
| License Number: | 010707 |
Most Important Dates
| Enumeration Date: | 07/04/2009 |
| Last Updated: | 01/05/2015 |
Provider Practice Location
82 SPRING LANE
WEST HARTFORD
CT
06107
Practice Location Phone/Fax
| Phone: | 8602061205 |
| Fax: |
Provider Mailing Location
82 SPRING LANE
WEST HARTFORD
CT
06107
Provider Mailing Phone/Fax
| Phone: | 8602061205 |
| Fax: |