IndividualActive
Pavinee Chotiwannaporn
NPI 1003151606 · Prosthodontics · Bothell, WA
Provider details
- NPI number
- 1003151606
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- DE60260314 (WA)
Specialties & taxonomies
Dental Providers
Practice location
20225 Bothell Everett Hwy, Unit 622
Bothell, WA 98012
Phone: (317) 522-6723
Approximate (ZIP-level) locationGet directions
Mailing address
20225 Bothell Everett Hwy, Unit 622
Bothell, WA 98012
Registry dates
- Enumerated
- 2012-12-07
- Last updated
- 2014-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.