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1588716575
JACKRIT MONGKOLLUGSANA
WESTERVILLE, OH
NPI
1588716575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OH 30-01-4580)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
-- JACKRIT MONGKOLLUGSANA DDS
154 W SCHROCK RD SUITE B
WESTERVILLE, OH 43081-4902
Phone number: 614-890-7005
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Mailing Address
-- JACKRIT MONGKOLLUGSANA DDS
154 W SCHROCK RD SUITE B
WESTERVILLE, OH 43081-4902
Phone number: 614-890-7005
Copy
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