Individual
DR. TATIYA UNGPHAKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, ABO
Contact information
Practice address
122 ATLANTIC AVE, BROOKLYN, NY 11201-6716
(718) 852-4414
Mailing address
301 E 22ND ST APT 9M, NEW YORK, NY 10010-4821
(646) 496-6696
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060653
NY
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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