Individual
PIYARAT SIRIRATTANAGOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1 KNEELAND ST FL 12, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
8 WINTER ST UNIT 304, BOSTON, MA 02108-4735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL15364
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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