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Dr. Jirawan Srivivatanakul, DDS
General Practice Dentistry in Cerritos, California
NPI 1053456251

Jirawan Srivivatanakul is a General Practice Dentistry based in Cerritos, CA and is specialized in General Practice. Jirawan Srivivatanakul practices in Cerritos, CA and has the professional credentials of DDS. The NPI Number for Jirawan Srivivatanakul is 1053456251 and holds a License No. 48771 (California).

The current practice location address for Jirawan Srivivatanakul is 17150 Norwalk Blvd Ste 107, Cerritos, CA and can be reached out via phone at 562-402-8899.

Location: 17150 Norwalk Blvd Ste 107, Cerritos, CA, 90703-2751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053456251
Provider Name
Jirawan Srivivatanakul
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
17150 Norwalk Blvd Ste 107, Cerritos, CA, 90703-2751
Phone Number
562-402-8899
Fax Number
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
17150 Norwalk Blvd Ste 107
City
Cerritos
State
California
Zip
90703-2751
Phone Number
562-402-8899
Fax Number
person
Provider Business Mailing Address Details
Address
17150 Norwalk Blvd Ste 107
City
Cerritos
State
California
Zip
90703-2751
Phone Number
562-402-8899
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
48771 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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