Individual
CHANOAN SUMONTHEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 W ALLEGHENY AVE STE B1, PHILADELPHIA, PA 19133-3614
(215) 291-9200
Mailing address
17362 SW 32ND LN, MIRAMAR, FL 33029-5590
(954) 556-0928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS045129
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/11/2025
Last updated
06/03/2025
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