Individual provider · Type 1 NPI

Wisanu Charoenkul, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Redmond, WA

NPI number 1124223540 Active

Practice location

15446 Bel Red Rd Ste 310
Redmond, WA 98052-5780

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDE00009798 (WA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1124223540

Wisanu Charoenkul, DDS's National Provider Identifier is 1124223540, issued on Jun 16, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Redmond, WA. The record was last updated on Apr 16, 2025.