Individual provider · Type 1 NPI

Mintra Candy Thuntarug, DMD

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1932895620 Active

Practice location

451 Clarkson Ave
Brooklyn, NY 11203-2054

Call (718) 245-2027 Map

Mailing address

10843 24th Ave S
Burien, WA 98168-1808

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 1932895620

Mintra Candy Thuntarug, DMD's National Provider Identifier is 1932895620, issued on Apr 14, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 14, 2023.