Supak ChotI is a Dentist in the BURNEY area. Supak ChotI primary office location is at 38096 HIGHWAY 299 E and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1003003781 and the information was updated approximately 12 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: NO
License Number | State |
---|---|
56408 | CA |
Type/Issuer | Identifier | State |
---|---|---|
MEDICAID | 56408 | CA |
Taxonomy | State | Primary? |
---|---|---|
Dentist - Taxonomy Code 122300000X | CA | Y |