Itarut Dental LLC
NPI #1164986113 in Tucker, Georgia
Provider Information
- NPI Number
- 1164986113
- Entity Type
- Organization
- Organization Name
- Itarut Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 24, 2019
- Last Updated
- Jan 24, 2019
Practice Location
Authorized Official
- Name
- DR. PIYANUT ITARUT, DMD
- Title
- ORGANIZER
- Phone
- (618) 977-6071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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