Individual
DR. MANRAT AMORNPORNCHAROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3624 S LOYOLA DR APT 256, KENNER, LA 70065-5499
(317) 405-7555
Mailing address
3624 S LOYOLA DR APT 256, KENNER, LA 70065-5499
(317) 405-7555
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
S-652
LA
Other
Enumeration date
02/01/2012
Last updated
02/04/2012
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