Numpol Dejtiranukul Dmd Llc

NPI 1043479215 - Dentist - 1223G0001X

NPI Details
NPI 1043479215
Enumeration Date 06/03/2008
Last Updated 06/03/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name NUMPOL NUMPOL
Position SINGLE MEMBER
Phone (636) 300-4280
Fax
Practice Location
4122 KEATON CROSSING BLVD
SUITE 101
O FALLON MO, 63368-8218, US
Phone (636) 300-4280
Fax
Business Location
4122 KEATON CROSSING BLVD
SUITE 101
O FALLON MO, 63368-8218, US
Phone (636) 300-4280
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Missouri
License Number 2000170243
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According to our database, Numpol Dejtiranukul Dmd Llc NPI is 1043479215, taxonomy code is 1223G0001X and license number is 2000170243, license state is located at Missouri. Numpol Dejtiranukul Dmd Llc physically located at 4122 Keaton Crossing Blvd, O Fallon MO, 63368-8218. NPI Number 1033115704 has the healthcare provider type.

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1043479215 NPI number is provided on an as is basis without warranty of any kind. 1043479215 is maintained by the National Plan & Provider Enumeration System. The contents of Numpol Dejtiranukul Dmd Llc are for informational purposes only.