Individual
PANYA MEUNSANITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1ST DNBN ATTN: CREDENTIALS, CAMP PENDLETON, CA 92055-5221
(951) 434-9364
Mailing address
NHCP, 200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
(951) 434-9364
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH29492
CA
Other
Enumeration date
10/02/2020
Last updated
02/18/2025
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