| Leetrakul&suwantamey Dental Practice | |
|
10909 Lakewood Blvd Downey CA 90241-3808 | |
| (562) 869-8177 | |
| Not Available |
| Full Name | Leetrakul&suwantamey Dental Practice |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10909 Lakewood Blvd, Downey, California |
| Authorized Official Name and Position | Kasidit Suwantamey (GENERAL MANAGER) |
| Authorized Official Contact | 5628698177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leetrakul&suwantamey Dental Practice 10909 Lakewood Blvd Downey CA 90241-3808 Ph: (562) 869-8177 | Leetrakul&suwantamey Dental Practice 10909 Lakewood Blvd Downey CA 90241-3808 Ph: (562) 869-8177 |
| NPI Number | 1598839383 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598839383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31399 (California) | Primary |
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