| Daraporn Tanpattana, D.d.s., Inc. | |
|
11340 W Olympic Blvd #360 Los Angeles CA 90064-1608 | |
| (310) 473-2727 | |
| (310) 473-2141 |
| Full Name | Daraporn Tanpattana, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 11340 W Olympic Blvd, Los Angeles, California |
| Authorized Official Name and Position | Daraporn Tanpattana (PRACTICE ASSOCIATE) |
| Authorized Official Contact | 3104732727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daraporn Tanpattana, D.d.s., Inc. 11340 W Olympic Blvd #360 Los Angeles CA 90064-1608 Ph: (310) 473-2727 | Daraporn Tanpattana, D.d.s., Inc. 11340 W Olympic Blvd #360 Los Angeles CA 90064-1608 Ph: (310) 473-2727 |
| NPI Number | 1093928723 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093928723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 47326 (California) | Primary |
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