Individual
DR. KONGKIAT RATANATHARATHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3838 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4416
(253) 212-3430
Mailing address
824 32ND AVE S, SEATTLE, WA 98144-3241
(099) 586-2220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
55922
CA
122300000X
Dentist
Primary
DE60748920
WA
Other
Enumeration date
07/24/2007
Last updated
01/02/2023
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