Organization · Type 2 NPI

Jirawan Srivivatanakul D.d.s., Inc.

Dental Clinic/Center · Cerritos, CA

NPI number 1265624399 Active

Practice location

17360 Norwalk Blvd
Cerritos, CA 90703-2748

Call (562) 402-8899 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X48771 (CA)

Dental Clinic/Center: Definition to come...

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About NPI 1265624399

Jirawan Srivivatanakul D.d.s., Inc.'s National Provider Identifier is 1265624399, issued on Aug 13, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Cerritos, CA. The record was last updated on Aug 13, 2007.