Individual
PIMSIRI KANGVONKIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3411 SYCAMORE SCHOOL RD, FORT WORTH, TX 76123-2091
(682) 233-9326
Mailing address
4900 GAGE AVE APT 383, FORT WORTH, TX 76109-1629
(646) 993-6595
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
37119
TX
Other
Enumeration date
03/29/2021
Last updated
09/22/2023
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