Individual
DR. TANAWAT RITKAJORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE, 9-176 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 624-3254
Mailing address
615 ONTARIO ST SE APT 1, MINNEAPOLIS, MN 55414-3135
(612) 205-6136
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
R428
MN
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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