Individual
DR. LALITA ANGKANAWARAPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
8511 GREENWOOD AVE N, SEATTLE, WA 98103
(206) 782-8223
Mailing address
4312A EVANSTON AVE N, SEATTLE, WA 98103-7209
(213) 503-4663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60814301
WA
125Q00000X
Oral Medicine Dentistry
DE60814301
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2017
Last updated
07/31/2018
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