Individual
KAI WANASANUNT ON-ART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8007 US HWY 19 N, PINELLAS PARK, FL 33781
(251) 634-2345
Mailing address
8007 US HWY 19, PINELLAS PARK, FL 33781
(626) 592-0711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D-0007032-C1
AL
122300000X
Dentist
Primary
DN27725
FL
Other
Enumeration date
06/05/2022
Last updated
08/24/2023
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