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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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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