Individual
PRAPAPORN SHANTAVASINKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2223 MURRAY HILL RD, APT#3, CLEVELAND, OH 44106-2687
(216) 368-8768
Mailing address
2223 MURRAY HILL RD, APT#3, CLEVELAND, OH 44106-2687
(216) 368-8768
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
RES.3199
OH
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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