DR. Nirooch Suebsanguan, DDS

NPI #1285787291 in Astoria, New York

Provider Information

NPI Number: 1285787291
Entity Type: Individual
Name: DR. Nirooch Suebsanguan, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jan 21, 2007
Last Updated: Feb 4, 2013

Practice Location

Address: 2904 DITMARS BLVD
City: Astoria
State: New York
ZIP Code: 11105-2732
Phone: (718) 721-9495

Specialties & Taxonomy Codes

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

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