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Individual
KAMOLPHOB PHASUK
Active
Individual
KAMOLPHOB PHASUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12013111A
IN
122300000X
Dentist
38774
TX
1223G0001X
General Practice Dentistry
38774
TX
1223P0700X
Prosthodontics
Primary
12013111A
IN
1223P0700X
Prosthodontics
38774
TX
Other
Enumeration date
05/08/2015
Last updated
12/11/2025
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