JIRAVAT WANGWONGVIVAT, D.D.S. , A PROFESSIONAL CORPORATION

NORTH HOLLYWOOD, CA
NPI1912996455
Doing Business AsTHAI SMILE DENTAL CARE
Entity TypeOrganization
Authorized ContactJIRAVAT WANGWONGVIVAT
President
818-765-8280
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  40201)
Enumeration Date2005-10-18
Last Update Date2020-08-22
Business Address
JIRAVAT WANGWONGVIVAT, D.D.S. , A PROFESSIONAL CORPORATION
12724 SHERMAN WAY
NORTH HOLLYWOOD, CA 91605-5031
Phone number: 818-765-8280
Mailing Address
JIRAVAT WANGWONGVIVAT, D.D.S. , A PROFESSIONAL CORPORATION
12724 SHERMAN WAY
NORTH HOLLYWOOD, CA 91605-5031
Phone number: 818-765-8280