| NPI | 1922691328 |
|---|---|
| Former Name | WIRAWUT THOTHONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OK 141) |
| Additional Taxonomies | 122300000X Dentist (Licence: OK 7688) |
| 122300000X Dentist (Licence: FL DN26105) | |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2024-03-14 |