SOMKAMOL VANICHVATANA

SAINT LOUIS, MO
NPI1548675176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-06-23
Last Update Date2014-06-23
Business Address
-- SOMKAMOL VANICHVATANA D.D.S.
3320 RUTGER ST
SAINT LOUIS, MO 63104-1122
Phone number: 314-977-8363
Mailing Address
-- SOMKAMOL VANICHVATANA D.D.S.
18 S KINGSHIGHWAY BLVD APT 9S
SAINT LOUIS, MO 63108-1356
Phone number: 314-550-6780