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Organization
LEETRAKUL&SUWANTAMEY DENTAL PRACTICE
Active
Organization
LEETRAKUL&SUWANTAMEY DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KASIDIT SUWANTAMEY DDS (GENERAL MANAGER)
(562) 869-8177
Entity
Organization
Contact information
Practice address
10909 LAKEWOOD BLVD, DOWNEY, CA 90241-3808
(562) 869-8177
Mailing address
10909 LAKEWOOD BLVD, DOWNEY, CA 90241-3808
(562) 869-8177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31399
CA
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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