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1164652053
CHANCHAI SANGSURASAK
RIVERSIDE, CA
NPI
1164652053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 58501)
Enumeration Date
2009-07-25
Last Update Date
2013-10-02
Business Address
Dr. CHANCHAI SANGSURASAK D.D.S
3410 LA SIERRA AVE STE D
RIVERSIDE, CA 92503-5205
Phone number: 951-354-9550
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Mailing Address
Dr. CHANCHAI SANGSURASAK D.D.S
3410 LA SIERRA AVE STE D
RIVERSIDE, CA 92503-5205
Phone number: 951-354-9550
Copy
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