Dr. Sujaya Thogaru
Dentist, General Practice in Elk River, MN. Individual provider (NPI-1).
NPI number1245077601
StatusActive
Last updated in NPPESJul 12, 2024
Details
- NPI
- 1245077601
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sujaya Thogaru
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2024
- Certification date
- Jul 12, 2024
- Last updated
- Jul 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D15162 | MN | Yes |
Practice location
18223 Carson Ct NwElk River, MN 55330-2733
Phone 763-441-7030
Mailing address
9648 Merrimac Ln NMaple Grove, MN 55311-2272
Phone 972-822-5509
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- Northland Dental Partners, PLLCNPI 1720736150
All 13 General Practice Dentistry providers in Elk River · All 706 providers in Elk River
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