person
Dr. Chalatip Chompunud Na Ayudhya, DDS
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1770936924

Chalatip Chompunud Na Ayudhya is a Student in an Organized Health Care Education/Training Program based in Philadelphia, PA. Chalatip Chompunud Na Ayudhya practices in Philadelphia, PA and has the professional credentials of DDS. The NPI Number for Chalatip Chompunud Na Ayudhya is 1770936924 and holds a License No. (Pennsylvania).

The current practice location address for Chalatip Chompunud Na Ayudhya is 3400 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 215-360-0446.

Location: 3400 Civic Center Blvd, Philadelphia, PA, 19104-3529
person
Provider Profile Details
NPI Number
1770936924
Provider Name
Chalatip Chompunud Na Ayudhya
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3400 Civic Center Blvd, Philadelphia, PA, 19104-3529
Phone Number
215-360-0446
Fax Number
Provider Enumeration Date
07/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3400 Civic Center Blvd
City
State
Zip
19104-5127
Phone Number
215-360-0446
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Civic Center Blvd
City
State
Zip
19104-5127
Phone Number
215-360-0446
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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