PIYANUT ITARUT

SAN JOSE, CA
NPI1497121222
Other NamePOM ITARUT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: GA  DN015017)
Enumeration Date2015-08-16
Last Update Date2019-01-24
Business Address
PIYANUT ITARUT DMD
6474 MCABEE RD
SAN JOSE, CA 95120-4518
Phone number: 618-977-6071
Mailing Address
PIYANUT ITARUT DMD
3756 LA VISTA RD SUITE 102
TUCKER, GA 30084-5642
Phone number: 404-636-4700
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