Search › Connecticut › 122300000X
Yutdhasak Kjornrattanawanich, DMD
NPI 1982766689 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1128 Farmington Ave
Bristol, CT 06010 - Phone
- (860) 585-1716
- Fax
- (860) 585-1758
- Organisation at this address
- Aspen Dental Of Greater Hartford, Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CT
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 Connecticut