Individual provider · Type 1 NPI
Ali Pootrakul, D.D.S
Oral and Maxillofacial Surgery (Dentist) · Lawndale, CA
Practice location
16002 Hawthorne Blvd
Lawndale, CA 90260-2646
Mailing address
8811 169th St, Oral Surgeon Suite 1st Fl.
Jamaica, NY 11432-4430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 052450 (NY) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 60258 (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.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Lawndale
About NPI 1386795961
Ali Pootrakul, D.D.S's National Provider Identifier is 1386795961, issued on Jan 12, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lawndale, CA. The record was last updated on Nov 18, 2019.