Pavinee Chotiwannaporn

NPI #1003151606 in Bothell, Washington

Provider Information

NPI Number: 1003151606
Entity Type: Individual
Name: Pavinee Chotiwannaporn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Prosthodontics
Enumeration Date: Dec 7, 2012
Last Updated: Jun 20, 2014

Practice Location

Address: 20225 BOTHELL EVERETT HWY, UNIT 622
City: Bothell
State: Washington
ZIP Code: 98012
Phone: (317) 522-6723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Prosthodontics — Prosthodontics	1223P0700X	Primary

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