Supak Choti, DDS Valid NPI
Individual provider · Dentist · Burney, CA
- NPI
- 1003003781
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 56408 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-09-26
- Last updated
- 2012-12-04
Practice location
38096 Highway 299 E
Burney, CA 96013-9792
(530) 410-5851