Thian Srisurapol DDS Pllc
NPI #1528673902 in Redmond, Washington
Provider Information
- NPI Number
- 1528673902
- Entity Type
- Organization
- Organization Name
- Thian Srisurapol DDS Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 11, 2020
- Last Updated
- Oct 16, 2021
Practice Location
- Address
- 23535 NE NOVELTY HILL RD # D308
- City
- Redmond
- State
- Washington
- ZIP Code
- 98053-5502
- Phone
- (425) 868-7770
Authorized Official
- Name
- DR. THIAN SRISURAPOL, DDS
- Title
- OWNER/ORTHODONTIST
- Phone
- (480) 326-3140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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