Individual
JARINTORN KOTHEERANURAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CWRU 2124 CORNELL ROAD, CLEVELAND, OH 44106
(216) 368-3200
Mailing address
2171 MURRAY HILL ROAD, CLEVELAND, OH 44106
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
RE S 3380
OH
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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