Individual
DR. WIRAWUT THOTHONG SEMTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
404 S ELM ST STE 108, JENKS, OK 74037-3714
(918) 417-2417
Mailing address
404 S ELM ST STE 108, JENKS, OK 74037-3714
(918) 417-2417
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7688
OK
122300000X
Dentist
DN26105
FL
1223P0221X
Pediatric Dentistry
Primary
141
OK
Other
Enumeration date
02/16/2021
Last updated
03/14/2024
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