Individual
DR. PAT WIMONSRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
535 MONMOUTH ST, GLOUCESTER CITY, NJ 08030-1502
(856) 386-1174
Mailing address
1232 CHESTNUT ST PH 1, PHILADELPHIA, PA 19107-4822
(347) 207-9814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02977300
NJ
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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