Individual
PAVINEE CHOTIWANNAPORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20225 BOTHELL EVERETT HWY, UNIT 622, BOTHELL, WA 98012
(317) 522-6723
Mailing address
20225 BOTHELL EVERETT HWY, UNIT 622, BOTHELL, WA 98012
(317) 522-6723
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DE60260314
WA
Other
Enumeration date
12/07/2012
Last updated
06/20/2014
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