Individual
DR. CHAREUNPHONE T INTHIRAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
405 ARROWHEAD BLVD, JONESBORO, GA 30236-1254
(404) 545-1769
Mailing address
405 ARROWHEAD BLVD, JONESBORO, GA 30236-1254
(404) 545-1769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013619
GA
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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