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Dr. Ali Pootrakul, DDS
Oral and Maxillofacial Surgery (Dentist) in Lawndale, California
NPI 1386795961

Ali Pootrakul is a Oral and Maxillofacial Surgery (Dentist) based in Jamaica, CA and is specialized in Oral and Maxillofacial Surgery. Ali Pootrakul practices in Lawndale, CA and has the professional credentials of DDS. The NPI Number for Ali Pootrakul is 1386795961 and holds a License No. 052450 (California).

The current practice location address for Ali Pootrakul is 16002 Hawthorne Blvd, Lawndale, CA and can be reached out via phone at 310-371-4104.

Location: 16002 Hawthorne Blvd, Lawndale, CA, 11432-4430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386795961
Provider Name
Ali Pootrakul
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
16002 Hawthorne Blvd, Lawndale, CA, 11432-4430
Phone Number
310-371-4104
Fax Number
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02891830 05 NY
institution
Provider Business Practice Location Address Details
Address
16002 Hawthorne Blvd
City
Lawndale
State
California
Zip
90260-2646
Phone Number
310-371-4104
Fax Number
person
Provider Business Mailing Address Details
Address
16002 Hawthorne Blvd
City
Lawndale
State
California
Zip
90260-2646
Phone Number
310-371-4104
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
052450 (New York)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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