Organization · Type 2 NPI

Jiravat Wangwongvivat, D.d.s. , A Professional Corporation

General Practice Dentistry · North Hollywood, CA

NPI number 1912996455 Active

About NPI 1912996455

Jiravat Wangwongvivat, D.d.s. , A Professional Corporation's National Provider Identifier is 1912996455, issued on Oct 18, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in North Hollywood, CA. The record was last updated on Aug 22, 2020.