| NPI | 1376987636 |
|---|---|
| Other Name | PENNY LAOWANSIRI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN 20017) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2017-04-11 |