HATTANAS KUMCHAI

PHILADELPHIA, PA
NPI1871151472
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-05-30
Last Update Date2019-05-30
Business Address
HATTANAS KUMCHAI DMD
909 WALNUT ST RM 300
PHILADELPHIA, PA 19107-5211
Phone number: 215-503-6215
Mailing Address
HATTANAS KUMCHAI DMD
3411 CHESTNUT ST APT 509
PHILADELPHIA, PA 19104-5519
Phone number: 857-210-2390