Charoenkul, Wisanu
Charoenkul, Wisanu is an individual health care provider with primary practice located at 14810 Lake Hills Blvd , Bellevue WA 98007-5821. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Charoenkul, Wisanu can be contacted via phone (425) 747-9210.Contact Information
Primary practice address
14810 Lake Hills Blvd
Bellevue WA 98007-5821
Phone: (425) 747-9210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DE0009798 | Washington |
Profile Details
| NPI number | 1124223540 |
|---|---|
| LBN Legal business name | Charoenkul, Wisanu |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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