Organization · Type 2 NPI

Thian Srisurapol DDS PLLC

Dental Clinic/Center · Redmond, WA

NPI number 1528673902 Active

Practice location

23535 NE Novelty Hill Rd # D308
Redmond, WA 98053-5502

Call (425) 868-7770 Map

Fax (425) 868-7718

Mailing address

12819 Renton Ave S
Seattle, WA 98178-4849

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1528673902

Thian Srisurapol DDS PLLC's National Provider Identifier is 1528673902, issued on Sep 11, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Redmond, WA. The record was last updated on Oct 16, 2021.