Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 60971 | CA |
N | 1223E0200X | Endodontist | DE 60085199 | WA |
NPI | 1114157252 |
---|---|
Provider Name | Dr. Orapin Veerayutthwilai Horst |
First Address | San Francisco, CA 94107-1011 |
Second Address | San Francisco, CA 94107-1011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2009 |
Last Update Date | 05/02/2020 |