KONGKIAT RATANATHARATHORN

UNIVERSITY PLACE, WA
NPI1598965824
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WA  DE60748920)
Additional Taxonomies122300000X Dentist
(Licence: CA  55922)
Enumeration Date2007-07-24
Last Update Date2023-01-02
Business Address
Dr. KONGKIAT RATANATHARATHORN D.D.S.
3838 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466-4416
Phone number: 253-212-3430
Mailing Address
Dr. KONGKIAT RATANATHARATHORN D.D.S.
824 32ND AVE S
SEATTLE, WA 98144-3241
Phone number: 099-586-2220