Individual
JIRAT YONGSAWASDIGUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
523 COLUMBUS AVE APT E, BOSTON, MA 02118-3431
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL15850
MA
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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