Roongruangphol, Thasanai

Roongruangphol, Thasanai is an individual health care provider with primary practice located at 349 Amds , Travis Afb CA 94535. He recently has 2 registered licenses in different health care specialties including Dental Providers / Prosthodontics, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Roongruangphol, Thasanai can be contacted via phone (707) 424-3812.

Contact Information

Primary practice address
349 Amds Travis Afb CA 94535
Phone: (707) 424-3812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 22823 Texas
Dental Providers / Dentist 122300000X 60265 California

Profile Details

NPI number 1487738605
LBN Legal business name Roongruangphol, Thasanai
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Oct 12th, 2020 - about 5 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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