YUTDHASAK KJORNRATTANAWANICH

BRISTOL, CT
NPI1982766689
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CT  9427)
Enumeration Date2006-12-16
Last Update Date2007-07-08
Business Address
-- YUTDHASAK KJORNRATTANAWANICH DMD
1128 FARMINGTON AVE
BRISTOL, CT 06010-4752
Phone number: 860-585-1716
Mailing Address
-- YUTDHASAK KJORNRATTANAWANICH DMD
PO BOX 3189
SYRACUSE, NY 13220-3189
Phone number: 315-454-6000
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