MR. Ekkasak Sornkul

NPI #1871705343 in Brookline, Massachusetts

Provider Information

NPI Number: 1871705343
Entity Type: Individual
Name: MR. Ekkasak Sornkul
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: May 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 209 HARVARD ST STE 406
City: Brookline
State: Massachusetts
ZIP Code: 02446-5005
Phone: (617) 975-0337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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