Individual
DR. PIAMKAMON VACHAROTAYANGUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, PHD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-6974
Mailing address
1620 TREMONT ST, BOSTON, MA 02120-1613
(617) 732-5517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DF11633
MA
122300000X
Dentist
Primary
DF12034
MA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DF12034
MA
Other
Enumeration date
07/22/2020
Last updated
04/16/2026
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