SUPONTEP TEERAKANOK

BOSTON, MA
NPI1871134833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: MA  DL14138)
Enumeration Date2019-10-01
Last Update Date2019-10-01
Business Address
Dr. SUPONTEP TEERAKANOK DDS
HENRY GOLDMAN SCHOOL OF DENTAL MEDICINE 635 ALBANY ST
BOSTON, MA 02118
Phone number: 617-763-7550
Mailing Address
Dr. SUPONTEP TEERAKANOK DDS
18 ELBA ST
BROOKLINE, MA 02446-6759
Phone number: 617-763-7550
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