| NPI | 1053623298 |
|---|---|
| Former Name | WANIDA TECHAWATTANAWISAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 37780) |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2023-03-22 |