Individual
THIAN SRISURAPOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13346 1ST AVE NE, SEATTLE, WA 98125-3036
(206) 523-6327
Mailing address
12819 RENTON AVE S, SEATTLE, WA 98178-4849
(480) 326-3140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401414951
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401414951
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
31290
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE60574845
WA
Other
Enumeration date
07/26/2013
Last updated
09/10/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us