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1548675176
SOMKAMOL VANICHVATANA
SAINT LOUIS, MO
NPI
1548675176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-06-23
Last Update Date
2014-06-23
Business Address
-- SOMKAMOL VANICHVATANA D.D.S.
3320 RUTGER ST
SAINT LOUIS, MO 63104-1122
Phone number: 314-977-8363
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Mailing Address
-- SOMKAMOL VANICHVATANA D.D.S.
18 S KINGSHIGHWAY BLVD APT 9S
SAINT LOUIS, MO 63108-1356
Phone number: 314-550-6780
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