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Kiatkachorn Ratanatharathorn, Dds Inc
Dental Clinic/Center in West Covina, California
NPI 1891402079

Kiatkachorn Ratanatharathorn, Dds Inc is a Dental Clinic/Center based in West Covina, CA and is specialized in Dental. Kiatkachorn Ratanatharathorn, Dds Inc practices in West Covina, CA. The NPI Number for Kiatkachorn Ratanatharathorn, Dds Inc is 1891402079 and holds a License No. (California).

The current practice location address for Kiatkachorn Ratanatharathorn, Dds Inc is 2420 S Azusa Ave, West Covina, CA and can be reached out via phone at 626-810-2691.

Location: 2420 S Azusa Ave, West Covina, CA, 91792-1512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891402079
Provider Name
Kiatkachorn Ratanatharathorn, Dds Inc
Credential
Provider Entity Type
Organization
Address
2420 S Azusa Ave, West Covina, CA, 91792-1512
Phone Number
626-810-2691
Fax Number
Provider Enumeration Date
10/27/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2420 S Azusa Ave
City
West Covina
State
California
Zip
91792-1512
Phone Number
626-810-2691
Fax Number
person
Provider Business Mailing Address Details
Address
2420 S Azusa Ave
City
West Covina
State
California
Zip
91792-1512
Phone Number
626-810-2691
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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