Individual
PATHAMAS CHANTARACHERD MITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
3475 PLYMOUTH BLVD STE 200, PLYMOUTH, MN 55447-1539
(763) 577-2484
(763) 577-1375
Mailing address
3475 PLYMOUTH BLVD STE 200, PLYMOUTH, MN 55447-1539
(763) 577-2484
(763) 577-1375
Taxonomy
Speciality
Code
Description
License number
State
1223X2210X
Orofacial Pain Dentistry
Primary
S187
MN
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us