Individual
DR. AUPAIPORN GRACE JOTIKABHUKKANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
551 BOYLSTON ST STE 501, BOSTON, MA 02116-3605
(617) 536-4020
Mailing address
551 BOYLSTON ST STE 501, BOSTON, MA 02116-3605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21218
MA
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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