Individual
DR. KITTIMA BOONSIRISERMSOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708
(757) 953-8329
Mailing address
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
052803-1
NY
Other
Enumeration date
08/29/2006
Last updated
12/09/2022
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