Timothy Leetrakul DDS Dental Corporation
Timothy Leetrakul DDS Dental Corporation is a General Practice Dentistry in North Hollywood, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
12643 Sherman Way Ste DNorth Hollywood, CA 91605-5271
Phone: (818) 765-3534
Fax: (818) 765-3537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 58017 (CA) |
|---|
Record details
| NPI number | 1699177642 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy Leetrakul — President · (818) 765-3534 |
| NPI enumerated | September 22, 2014 |
| Last updated in NPPES | June 2, 2021 |
| Certification date | June 2, 2021 |
| Mailing address | 12643 Sherman Way Ste D, North Hollywood, CA 91605-5271 |
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