Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Prescriptions Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
38096 HIGHWAY 299 E
BURNEY, CA 96013-9792 US

Supak ChotI

Dentist


Supak ChotI

Overview

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

Contact Information

Primary Practice Location Information
38096 HIGHWAY 299 E
BURNEY, CA 96013-9792 US
Phone: (530)-410-5851
Fax:
Practice Mailing Information
3671 FOOTHILL BLVD
REDDING, CA 96013-9792 US
Phone: (530)-510-3077
Fax:
License NumberState
56408CA
Type/IssuerIdentifierState
MEDICAID56408CA
TaxonomyStatePrimary?
Dentist - Taxonomy Code 122300000X CAY