Individual
DR. KAMOLTHIP SONGTRAKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9457
Mailing address
345 E 24TH ST STE 407W, NEW YORK, NY 10010-4020
(212) 542-0345
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
000094
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/16/2015
Last updated
09/13/2018
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