WICHAYA WISITRASAMEEWONG

BOSTON, MA
NPI1740612332
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist Periodontics
(Licence: MA  DL11966)
Enumeration Date2013-08-06
Last Update Date2013-08-06
Business Address
MISS WICHAYA WISITRASAMEEWONG DDS
188 LONGWOOD AVE HARVARD SCHOOL OF DENTAL MEDICINE
BOSTON, MA 02115-5819
Phone number: 617-432-1452
Mailing Address
MISS WICHAYA WISITRASAMEEWONG DDS
188 LONGWOOD AVE HARVARD SCHOOL OF DENTAL MEDICINE
BOSTON, MA 02142
Phone number: 617-432-1452