Tanatcha Kukiratirat
Tanatcha Kukiratirat is a General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2021.
- Licensed in
- IL
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
3425 W Peterson AveChicago, IL 60659-3433
Phone: (773) 256-9222
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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 019.033307 (IL) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 019033307 (IL) |
Record details
| NPI number | 1346913134 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 27, 2021 |
| Last updated in NPPES | July 27, 2021 |
| Certification date | July 27, 2021 |
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