Individual
HATTAPOL KUMCHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 834-7210
Mailing address
665 WASHINGTON ST PH 26A, BOSTON, MA 02111-1658
(617) 834-7210
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DL14691
MA
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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