| NPI | 1093686487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORNPAN HIRANPRADIT Owner 646-400-2807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |