Individual
NOPSARAN CHAIMATTAYOMPOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
500 CONGRESS ST, SUITE 3E, QUINCY, MA 02169-0908
(617) 328-0693
(617) 328-0694
Mailing address
500 CONGRESS ST, SUITE 3E, QUINCY, MA 02169-0908
(617) 328-0693
(617) 328-0694
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
20789
MA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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