Provider Demographics
NPI:1053671339
Name:LALIT G THANKI DDS & JYOTI L THANKI APDC
Entity Type:Organization
Organization Name:LALIT G THANKI DDS & JYOTI L THANKI APDC
Other - Org Name:COMPLETE FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LALIT
Authorized Official - Middle Name:GOPALJI
Authorized Official - Last Name:THANKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:337-981-9848
Mailing Address - Street 1:3231 KALISTE SALOOM RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-7421
Mailing Address - Country:US
Mailing Address - Phone:337-981-9848
Mailing Address - Fax:337-981-9845
Practice Address - Street 1:3231 KALISTE SALOOM RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7421
Practice Address - Country:US
Practice Address - Phone:337-981-9848
Practice Address - Fax:337-981-9845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental