Individual
DR. DARAPORN TANPATTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11340 W OLYMPIC BLVD, #360, LOS ANGELES, CA 90064-1608
(310) 473-2727
(310) 473-2141
Mailing address
1429 S BUNDY DR, #5, LOS ANGELES, CA 90025-2108
(310) 826-8099
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
47326
CA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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