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Organization

YAOWARATTANA DDS, INC.

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Organization

YAOWARATTANA DDS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LALISA YAOWARATTANA D.D.S (OWNER)
(909) 825-3000
Entity
Organization

Contact information

Practice address
22737 BARTON RD, SUITE 12, GRAND TERRACE, CA 92313-5262
(909) 825-3000
Mailing address
22737 BARTON RD, SUITE 12, GRAND TERRACE, CA 92313-5262
(909) 825-3000

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52133
CA

Other

Enumeration date
10/31/2008
Last updated
12/23/2009
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