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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KONGKIAT RATANATHARATHORN, D.D.S.

Active Sole Proprietor

DR. KONGKIAT RATANATHARATHORN, D.D.S. is a Dentist healthcare provider located in UNIVERSITY PLACE, Washington. NPI 1598965824 is currently active in the NPPES registry. Verify at CMS.

Dentist · UNIVERSITY PLACE, WA

Registration Details

NPI Number
1598965824
Provider Type
Individual
Gender
Male
NPI Issued
Jul 24, 2007 (19.047653897716 yrs)
Last Updated
Jan 2, 2023
Licenses
55922 (CA)
DE60748920 (WA)
Sole Proprietor
Yes

Practice Information

Address
3838 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA, 984664416
Browse WA providers · Browse ZIP 98466
Phone
2532123430
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in UNIVERSITY PLACE, WA

Name Credential NPI
DR. MICHAEL ERNEST MARTIN DDS 1770595712
DR. JERRY L WALKER DDS 1700984440
DR. MARK W ARNOLD DDS 1093813073
DR. SPENCER MOSER WILLARDSEN DDS 1790869527
DR. ROBERT W CLIFFORD D.D.S. 1841494978
DR. WILLIAM JOHN HARRIS DDS 1649477621
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.