Individual
JOSEPH SOMBOONTHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
141 DORCHESTER AVE, BOSTON, MA 02127-1826
(617) 765-7488
Mailing address
141 DORCHESTER AVE, BOSTON, MA 02127-1826
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859312
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2020
Last updated
06/16/2022
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