NPI 1003003781

Supak Choti, DDS

Practitioner Dentist Burney, CA

Practice location

Address: 38096 Highway 299 E, Burney, CA 96013-9792
Phone: (530) 410-5851
Mailing address: 3671 Foothill Blvd, Redding, CA 96001-0616

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 56408 (CA)

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Registry record

NPI: 1003003781
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2007
Record last updated: 4 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.