Priyawat, Rupporn
Priyawat, Rupporn is an individual health care provider with primary practice located at 15911 Pomona Rincon Rd Ste 120 , Chino Hills CA 91709-5567. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Priyawat, Rupporn can be contacted via phone (909) 497-9449.Contact Information
Primary practice address
15911 Pomona Rincon Rd Ste 120
Chino Hills CA 91709-5567
Phone: (909) 497-9449
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 61647 | California |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 61647 | California |
Profile Details
| NPI number | 1033453667 |
|---|---|
| LBN Legal business name | Priyawat, Rupporn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2012 |
| Last updated | Jul 31st, 2023 - about last year |
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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