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1053456251
JIRAWAN SRIVIVATANAKUL
CERRITOS, CA
NPI
1053456251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 48771)
Enumeration Date
2007-02-21
Last Update Date
2023-07-10
Business Address
Dr. JIRAWAN SRIVIVATANAKUL D.D.S.
17150 NORWALK BLVD STE 107
CERRITOS, CA 90703-2751
Phone number: 562-402-8899
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Mailing Address
Dr. JIRAWAN SRIVIVATANAKUL D.D.S.
17150 NORWALK BLVD STE 107
CERRITOS, CA 90703-2751
Phone number:
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