Yutdhasak Kjornrattanawanich, DMD

NPI #1982766689 in Bristol, Connecticut

Provider Information

NPI Number: 1982766689
Entity Type: Individual
Name: Yutdhasak Kjornrattanawanich, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Dec 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1128 FARMINGTON AVE
City: Bristol
State: Connecticut
ZIP Code: 06010-4752
Phone: (860) 585-1716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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