Provider Demographics
NPI:1821300138
Name:THAKUR, YOGITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:YOGITA
Middle Name:
Last Name:THAKUR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:YOGITA
Other - Middle Name:
Other - Last Name:BUTANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1807 BAY RD
Mailing Address - Street 2:
Mailing Address - City:EAST PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-1312
Mailing Address - Country:US
Mailing Address - Phone:650-289-7710
Mailing Address - Fax:650-853-1018
Practice Address - Street 1:1807 BAY RD.
Practice Address - Street 2:
Practice Address - City:E PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-1312
Practice Address - Country:US
Practice Address - Phone:650-289-7710
Practice Address - Fax:650-853-1018
Is Sole Proprietor?:No
Enumeration Date:2010-07-02
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA573191223D0001X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223D0001XDental ProvidersDentistDental Public Health