Search › California › 1223P0300X
Teerarat Phuatrakoon
NPI 1194619155 · on the registry since 2025
Practice
- Address
- 1623 Santa Clara Dr Ste 100
Roseville, CA 95661 - Phone
- (916) 788-1114
- Organisation at this address
- Kristen Young Dds, Ms, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California