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1205853157
JIRAVAT WANGWONGVIVAT
NORTH HOLLYWOOD, CA
NPI
1205853157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 40201)
Enumeration Date
2006-07-16
Last Update Date
2007-07-08
Business Address
Dr. JIRAVAT WANGWONGVIVAT D.D.S.
12724 SHERMAN WAY
NORTH HOLLYWOOD, CA 91605-5031
Phone number: 818-765-8280
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Mailing Address
Dr. JIRAVAT WANGWONGVIVAT D.D.S.
12724 SHERMAN WAY
NORTH HOLLYWOOD, CA 91605-5031
Phone number: 818-765-8280
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