DR. Hatai Jivagunchainan, DMD

NPI #1154934065 in Astoria, Oregon

Provider Information

NPI Number
1154934065
Entity Type
Individual
Name
DR. Hatai Jivagunchainan, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Aug 28, 2020
Last Updated
Feb 3, 2021

Practice Location

Address
940 ASTOR ST STE C
State
Oregon
ZIP Code
97103-4213
Phone
(971) 206-6688

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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