Individual
BRIANNA THEWSUVAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
511 E 3RD ST STE 260, BETHLEHEM, PA 18015-2072
(484) 526-2460
Mailing address
349 TIMBER GROVE RD, OWINGS MILLS, MD 21117-1320
(410) 409-1438
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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