institution
Jirawan Srivivatanakul D.d.s., Inc.
Dental Clinic/Center in Cerritos, California
NPI 1265624399

Jirawan Srivivatanakul D.d.s., Inc. is a Dental Clinic/Center based in Cerritos, CA and is specialized in Dental. Jirawan Srivivatanakul D.d.s., Inc. practices in Cerritos, CA. The NPI Number for Jirawan Srivivatanakul D.d.s., Inc. is 1265624399 and holds a License No. 48771 (California).

The current practice location address for Jirawan Srivivatanakul D.d.s., Inc. is 17360 Norwalk Blvd, Cerritos, CA and can be reached out via phone at 562-402-8899.

Location: 17360 Norwalk Blvd, Cerritos, CA, 90703-2748
institution
Provider Profile Details
NPI Number
1265624399
Provider Name
Jirawan Srivivatanakul D.d.s., Inc.
Credential
Provider Entity Type
Organization
Address
17360 Norwalk Blvd, Cerritos, CA, 90703-2748
Phone Number
562-402-8899
Fax Number
Provider Enumeration Date
08/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17360 Norwalk Blvd
City
State
Zip
90703-2748
Phone Number
562-402-8899
Fax Number
person
Provider Business Mailing Address Details
Address
17360 Norwalk Blvd
City
State
Zip
90703-2748
Phone Number
562-402-8899
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
48771 (California)
Definition
Definition to come...
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