WATCHARIYAPORN THASAI

CHICAGO, IL
NPI1417823501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019035849)
Enumeration Date2025-10-15
Last Update Date2025-12-08
Business Address
WATCHARIYAPORN THASAI
4901 N KEDZIE AVE
CHICAGO, IL 60625-5009
Phone number: 773-895-9202
Mailing Address
WATCHARIYAPORN THASAI
404 E CLARK ST APT 109
CHAMPAIGN, IL 61820-5208
Phone number: