JACKRIT MONGKOLLUGSANA

WESTERVILLE, OH
NPI1588716575
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OH  30-01-4580)
Enumeration Date2007-01-18
Last Update Date2007-07-08
Business Address
-- JACKRIT MONGKOLLUGSANA DDS
154 W SCHROCK RD SUITE B
WESTERVILLE, OH 43081-4902
Phone number: 614-890-7005
Mailing Address
-- JACKRIT MONGKOLLUGSANA DDS
154 W SCHROCK RD SUITE B
WESTERVILLE, OH 43081-4902
Phone number: 614-890-7005