Chanchai Sangsurasak, Dds Inc.

NPI 1164851747 - Dentist - 122300000X

NPI Details
NPI 1164851747
Enumeration Date 11/05/2013
Last Updated 11/05/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CHANCHAI CHANCHAI
Position PRESIDENT
Phone (951) 354-9550
Fax (951) 354-8644
Practice Location
3410 LA SIERRA AVE
SUITE D
RIVERSIDE CA, 92503-5270, US
Phone (951) 354-9550
Fax (951) 354-8644
Business Location
3410 LA SIERRA AVE
SUITE D
RIVERSIDE CA, 92503-5270, US
Phone (951) 354-9550
Fax (951) 354-8644
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 58501
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According to our database, Chanchai Sangsurasak, Dds Inc. NPI is 1164851747, taxonomy code is 122300000X and license number is 58501, license state is located at California. Chanchai Sangsurasak, Dds Inc. physically located at 3410 La Sierra Ave, Riverside CA, 92503-5270. NPI Number 1033115704 has the healthcare provider type.

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1164851747 NPI number is provided on an as is basis without warranty of any kind. 1164851747 is maintained by the National Plan & Provider Enumeration System. The contents of Chanchai Sangsurasak, Dds Inc. are for informational purposes only.