Srithongrung, Justin
Srithongrung, Justin is an individual health care provider with primary practice located at 2030 S Baldwin Ave , Arcadia CA 91007-8155. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Srithongrung, Justin can be contacted via phone (626) 551-8355.Contact Information
Primary practice address
2030 S Baldwin Ave
Arcadia CA 91007-8155
Phone: (626) 551-8355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DDS101888 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / General Practice | 1223G0001X | DDS101888 | California |
Profile Details
| NPI number | 1629430442 |
|---|---|
| LBN Legal business name | Srithongrung, Justin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2016 |
| Last updated | Mar 17th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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