TEERACHAI SUPAKORNDEJ

AUSTIN, TX
NPI1083953814
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: TX  28588)
Enumeration Date2013-02-14
Last Update Date2025-08-29
Business Address
TEERACHAI SUPAKORNDEJ
8106 BRODIE LANE 108
AUSTIN, TX 78745
Phone number: 512-351-9313
Mailing Address
TEERACHAI SUPAKORNDEJ
8106 BRODIE LANE 108
AUSTIN, TX 78745
Phone number:
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