Individual
DR. BRALIPISUT ASADAMONGKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5065 HOLLYWOOD BLVD STE 205, LOS ANGELES, CA 90027-6122
(323) 666-9881
Mailing address
551 TEDFORD WAY, MONTEREY PARK, CA 91754-2522
(909) 255-5736
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
103909
CA
Other
Enumeration date
03/21/2020
Last updated
03/21/2020
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