Individual provider · Type 1 NPI

Chalatip Chompunud Na Ayudhya, DDS

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1770936924 Active

Practice location

3400 Civic Center Blvd, 4 South Pavillion, Perelman Center
Philadelphia, PA 19104-5127

Call (215) 360-0446 Map

Mailing address

4111 Walnut St Apt 111
Philadelphia, PA 19104-3529

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1770936924

Chalatip Chompunud Na Ayudhya, DDS's National Provider Identifier is 1770936924, issued on Jul 22, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 22, 2016.