Individual
KANVARA VIROJSAKULCHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1418 164TH ST SW STE 100, LYNNWOOD, WA 98087-8500
(425) 742-8828
Mailing address
3101 184TH ST SW UNIT D410, LYNNWOOD, WA 98037-4997
(323) 698-6939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE70022954
WA
1223X2210X
Orofacial Pain Dentistry
DE70022954
WA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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