Pavinee Chotiwannaporn
Prosthodontist
20225 Bothell Everett Hwy, Unit 622
Bothell
, Washington 98012
Pavinee Chotiwannaporn
Prosthodontist
20225 Bothell Everett Hwy, Unit 622
Bothell
, Washington 98012
(317) 522-6723
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Pavinee Chotiwannaporn
- 20225 Bothell Everett Hwy, Unit 622
- Bothell, WA
- Zip : 98012
- Phone : (317) 522-6723
Second Address
- Pavinee Chotiwannaporn
- 20225 Bothell Everett Hwy, Unit 622
- Bothell, WA
- Zip : 98012
- Phone : (317) 522-6723
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Is Pavinee Chotiwannaporn a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | DE60260314 | WA |
National Provider Identifier
| NPI | 1003151606 |
|---|---|
| Provider Name | Pavinee Chotiwannaporn |
| First Address | Bothell, WA 98012 |
| Second Address | Bothell, WA 98012 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2012 |
| Last Update Date | 20/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.