Jackrit Mongkollugsana, DDS

NPI 1588716575 · on the registry since 2007 · sole proprietor

Practice

Address: 154 W Schrock Rd
Suite B
Westerville, OH 43081
Phone: (614) 890-7005
Fax: (614) 890-7507
Organisation at this address: Mispace, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Ohio