Chatchaval Pongsugree DDS

NPI 1841253325 - Dentist - 1223G0001X

NPI Details
NPI 1841253325
Gender Male
Enumeration Date 04/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
NAVAL HEALTH CLINIC
3259 CATLIN AVE.
QUANTICO VA, 22134-6050, US
Phone (703) 784-2802
Fax
Business Location
PO BOX 140
JACKSONVILLE FL, 32212-0140, US
Phone (904) 542-7200
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number 0401008966
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According to our database, Dr. Chatchaval Pongsugree DDS NPI is 1841253325, taxonomy code is 1223G0001X and license number is 0401008966, license state is located at Virginia. Chatchaval Pongsugree DDS physically located at Naval Health Clinic, Quantico VA, 22134-6050. NPI Number Chatchaval Pongsugree DDS has the Individual type.

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1841253325 NPI number is provided on an as is basis without warranty of any kind. 1841253325 is maintained by the National Plan & Provider Enumeration System. The contents of Chatchaval Pongsugree DDS are for informational purposes only.