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

JIRAVAT WANGWONGVIVAT, D.D.S. , A PROFESSIONAL CORPORATION

Active Organization

JIRAVAT WANGWONGVIVAT, D.D.S. , A PROFESSIONAL CORPORATION is a General Dentistry organization located in NORTH HOLLYWOOD, California. NPI 1912996455 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · NORTH HOLLYWOOD, CA

Registration Details

NPI Number
1912996455
Provider Type
Organization
NPI Issued
Oct 18, 2005 (20.638447413975 yrs)
Last Updated
Aug 22, 2020
License
40201 (CA)

Practice Information

Address
12724 SHERMAN WAY
NORTH HOLLYWOOD, CA, 916055031
Browse CA providers · Browse ZIP 91605
Phone
8187658280
Fax
8187658454
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.