VANIDA WANGWONGVIVAT

NORTH HOLLYWOOD, CA
NPI1174540868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  40903)
Additional Taxonomies122300000X Dentist
(Licence: IA  07752)
Enumeration Date2006-07-17
Last Update Date2023-10-28
Business Address
-- VANIDA WANGWONGVIVAT D.D.S.
12724 SHERMAN WAY
NORTH HOLLYWOOD, CA 91605-5031
Phone number: 818-765-8280
Mailing Address
-- VANIDA WANGWONGVIVAT D.D.S.
12724 SHERMAN WAY
NORTH HOLLYWOOD, CA 91605-5031
Phone number: 818-765-8280
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