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Individual

DR. WISANU CHAROENKUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
15446 BEL RED RD STE 310, REDMOND, WA 98052-5780
(425) 747-9210
Mailing address
15446 BEL RED RD STE 310, REDMOND, WA 98052-5780
(425) 747-9210

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00009798
WA

Other

Enumeration date
06/16/2007
Last updated
04/16/2025
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