Wisitrasameewong, Wichaya
Wisitrasameewong, Wichaya is an individual health care provider with primary practice located at 188 Longwood Ave Harvard School Of Dental Medicine, Boston MA 02115-5819. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Wisitrasameewong, Wichaya can be contacted via phone (617) 432-1452.Contact Information
Primary practice address
188 Longwood Ave Harvard School Of Dental Medicine
Boston MA 02115-5819
Phone: (617) 432-1452
Fax: (617) 432-1897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DL11966 | Massachusetts |
Profile Details
| NPI number | 1740612332 |
|---|---|
| LBN Legal business name | Wisitrasameewong, Wichaya |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2013 |
| Last updated | Aug 6th, 2013 - about 13 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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