Waiyawat Chotibut, D.D.S.

NPI #1063583136 in Lyons, New York

Provider Information

NPI Number: 1063583136
Entity Type: Individual
Name: Waiyawat Chotibut, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Nov 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 52 BROAD ST
City: Lyons
State: New York
ZIP Code: 14489-1123
Phone: (315) 946-4656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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