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Individual
DR. SUPISARA THAMRONGSAK
Active
Individual
DR. SUPISARA THAMRONGSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSC
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
ST-000427
AL
Other
Enumeration date
09/14/2026
Last updated
09/14/2026
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