Provider Demographics
NPI:1972786291
Name:ARANYARACHKUL, PRASIT (DDS)
Entity type:Individual
Prefix:DR
First Name:PRASIT
Middle Name:
Last Name:ARANYARACHKUL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1848 SARATOGA AVE
Mailing Address - Street 2:SUITE 6B
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-6612
Mailing Address - Country:US
Mailing Address - Phone:408-306-8759
Mailing Address - Fax:
Practice Address - Street 1:1848 SARATOGA AVE
Practice Address - Street 2:SUITE 6B
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-6612
Practice Address - Country:US
Practice Address - Phone:408-306-8759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA562741223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics