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Individual

DR. RUNGNAPA WAROTAYANONT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, PHD

Contact information

Practice address
707 PARNASSUS AVE, SAN FRANCISCO, CA 94143-0753
(415) 476-3276
Mailing address
1012 KIRKHAM ST APT 1, SAN FRANCISCO, CA 94122-3553
(415) 742-2518

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
63119
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
943191433
CA
Enumeration date
09/13/2012
Last updated
11/26/2013
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