Search › Massachusetts › 1223P0300X
Supontep Teerakanok, DDS
NPI 1871134833 · on the registry since 2019
Practice
- Address
- Henry Goldman School Of Dental Medicine
635 Albany St
Boston, MA 02118 - Phone
- (617) 763-7550
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-01
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 Massachusetts