Individual
JUHTIMA REUANGSETTAKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8465 GREENBUSH AVE, PANORAMA CITY, CA 91402-4012
(818) 376-0767
Mailing address
8465 GREENBUSH AVE, PANORAMA CITY, CA 91402-4012
(818) 376-0767
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
CA
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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