Individual
BURINRUTT THANASUWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5888
(617) 432-1434
(617) 432-4258
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5888
(617) 432-1434
(617) 432-4258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859952
MA
Other
Enumeration date
05/06/2022
Last updated
09/06/2023
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