Individual
DR. CHONTHIDA ATHIPRAYOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1101 S WINCHESTER BLVD STE E158, SAN JOSE, CA 95128-3903
(408) 260-8283
Mailing address
PO BOX 110053, CAMPBELL, CA 95011-0053
(408) 260-8283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39596
CA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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