Prasit Aranyarachkul, Dds, Inc | |
3996 S Bascom Ave Ste 6 San Jose CA 95124-2663 | |
(408) 377-6286 | |
Not Available |
Full Name | Prasit Aranyarachkul, Dds, Inc |
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Speciality | Dentist - Periodontics |
Location | 3996 S Bascom Ave Ste 6, San Jose, California |
Authorized Official Name and Position | Prasit Aranyarachkul (DIRECTOR) |
Authorized Official Contact | 4083068759 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prasit Aranyarachkul, Dds, Inc 3996 S Bascom Ave Ste 6 San Jose CA 95124-2663 Ph: (408) 377-6286 | Prasit Aranyarachkul, Dds, Inc 3996 S Bascom Ave Ste 6 San Jose CA 95124-2663 Ph: (408) 377-6286 |
NPI Number | 1518331123 |
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Provider Enumeration Date | 11/19/2015 |
Last Update Date | 11/19/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518331123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 56274 (California) | Primary |
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