Individual
SORAPAN SMUTHKOCHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2124 CORNELL RD, CLEVELAND, OH 44106-3804
(216) 368-3249
Mailing address
2124 CORNELL RD, CLEVELAND, OH 44106-3804
(216) 368-3249
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3212
OH
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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