NPI | 1740354810 |
---|---|
Former Name | PEERANAN J SONGLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 8318) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 42778) |
1223G0001X Dentist General Practice (Licence: KY 6996) | |
Enumeration Date | 2006-11-20 |
Last Update Date | 2007-07-08 |