Jirawan Srivivatanakul D.d.s., Inc.
NPI #1265624399 in Cerritos, California
Provider Information
- NPI Number
- 1265624399
- Entity Type
- Organization
- Organization Name
- Jirawan Srivivatanakul D.d.s., Inc.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 13, 2007
- Last Updated
- Aug 13, 2007
Practice Location
- Address
- 17360 NORWALK BLVD
- City
- Cerritos
- State
- California
- ZIP Code
- 90703-2748
- Phone
- (562) 402-8899
Authorized Official
- Name
- DR. JIRAWAN SRIVIVATANAKUL, D.D.S.
- Title
- DENTIST
- Phone
- (562) 402-8899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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