Individual provider · Type 1 NPI

Rupporn Priyawat

Oral and Maxillofacial Surgery (Dentist) · Chino Hills, CA

NPI number 1033453667 Active

Practice location

15911 Pomona Rincon Rd Ste 120
Chino Hills, CA 91709-5567

Mailing address

264 Desert Bloom
Irvine, CA 92618-8872

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X61647 (CA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X61647 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1033453667

Rupporn Priyawat's National Provider Identifier is 1033453667, issued on Nov 20, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Chino Hills, CA. The record was last updated on Jul 31, 2023.