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Individual

PRACHAYA CHAROENKITKARN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
636 MAIN ST, READING, MA 01867-0062
(007) 278-1944
Mailing address
50 MALDEN ST APT 222, BOSTON, MA 02118-2889
(312) 874-9010

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859778
MA

Other

Enumeration date
06/15/2023
Last updated
06/15/2023
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